KATHLEEN R SHEA (NPI# 1184701716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184701716 |
| Entity Type | Individual |
| Full Name | KATHLEEN R SHEA |
| Credential | LCSW |
| Practice Address |
1516 Cooper St Fort Worth TX 76104-2710 |
| Mailing Address |
Po Box 99213 Fort Worth TX 76199-0213 |
| Practice Telephone | 6828851480 |
| Practice Fax Number | 6828853600 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
12400 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 108175403 | 05 | |
| TX | SUPERIOR PIN | 124048 | 01 |
| TX | BCBSTX IND PIN | 87130Q | 01 |
| GRP NPI NUMBER | 1336198894 | 01 | |
| TX | BCBSTX GRP PIN | 00G981 | 01 |
| TX | FIRSTHEALTH PIN | 1919614 | 01 |
| TX | AMERIGROUP PIN | 10013524 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053701888 | Kathleen Shea | Psychologist | 2706 Alt 19n, Suite 214, Palm Harbor, FL 34683-2641 | 2015-02-02 |
| 1073832010 | Kathleen A. Shea | Developmental Therapist | 508 E Scovill St, Urbana, IL 61801-6745 | 2010-05-28 |
| 1245487545 | Kathleen M Shea | Audiologist | 1401 F Main St, Hilton Head Island, SC 29926 | 2008-08-19 |
| 1235220369 | Kathleen V Shea | Psychologist | 42258 N Crawford Rd, A-1, Antioch, IL 60002-9570 | 2006-09-27 |
| 1043792187 | Kathleen Shea | Social Worker | 220r Forbes Rd, Braintree, MA 02184-2702 | 2018-09-05 |
| 1871074930 | Kathleen M Shea | Counselor | 417 W Madison St, Ottawa, IL 61350-2836 | 2018-08-27 |
| 1932595675 | Kathleen Shea | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2015-04-09 |
| 1851719785 | Kathleen Shea | Occupational Therapist | 4725 Merle Hay Rd, Suite 107, Des Moines, IA 50322-1983 | 2014-03-28 |
| 1083976021 | Kathleen Shea | Specialist | 300 Garden City Plz, Suite 350, Garden City, NY 11530-3302 | 2012-06-14 |
| 1972813343 | Kathleen Shea | Nurse Practitioner | 70 Main St, Taunton, MA 02780-2778 | 2010-10-19 |
| Street Address |
1516 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164507273 | Beth Colaluca | Clinical Neuropsychologist | 1516 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-26 |
| 1073676656 | Beth M Peterson | Counselor | 1516 Cooper St, Fort Worth, TX 76104-2710 | 2006-12-18 |
| 1518044155 | Samuel V Mccage | Counselor | 1516 Cooper St, Fort Worth, TX 76104-2710 | 2006-11-01 |
| 1982781522 | Lena M Zettler | Psychologist | 1516 Cooper St, Fort Worth, TX 76104-2710 | 2006-11-01 |
| 1073690608 | Victoria M Mccain | Psychologist | 1516 Cooper St, Fort Worth, TX 76104-2710 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410756 | Cowtown Counseling Pllc | Social Worker | 3270 Marys Ln, Fort Worth, TX 76116-4328 | 2020-08-31 |
| 1437762770 | Brandi Lashay Rhoden | Social Worker | 1720 Birds Eye Rd, Fort Worth, TX 76177-7548 | 2020-08-26 |
| 1063023067 | Brianna Snow | Social Worker | 2900 Race St Apt 156, Fort Worth, TX 76111-4170 | 2020-08-12 |
| 1871118745 | Raven Temeka Brown-mckinney | Social Worker | 7609 Bancroft Cir, Fort Worth, TX 76120-2491 | 2020-06-16 |
| 1356965123 | Courtney Shipp | Social Worker | 9211 Dale Lane Ct Apt 248, Fort Worth, TX 76108-2655 | 2020-06-08 |
| 1457974966 | Roberta Christine Mcknight-dupas | Social Worker | 6908 Greenlee St, Fort Worth, TX 76112-5602 | 2020-05-19 |
| 1336777010 | Renese Ann Super | Social Worker | 12333 Red Birch Ln, Fort Worth, TX 76244-4597 | 2020-03-30 |
| 1194358499 | Karen Brooks | Social Worker | 8551 Boat Club Rd Ste 115, Fort Worth, TX 76179-3674 | 2020-02-15 |
| 1851922728 | Melissa Dawn Monteiro | Social Worker | 1307 8th Ave Ste 301, Fort Worth, TX 76104-4140 | 2020-01-30 |
| 1417588369 | Ann Keith | Social Worker | 225 Casa Blanca Ave, Fort Worth, TX 76107-7720 | 2020-01-29 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on KATHLEEN R SHEA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.