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Individual
MICHAEL P SHEA
Active
Individual
MICHAEL P SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C, MSW, ED.D.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05426
MD
1041C0700X
Clinical Social Worker
SW8222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000395600
—
MD
01
—
121731
JOHN HOPKINS HEALTH CARE
MD
01
—
4573462
AETNA
MD
01
—
533585-03
BCBS
MD
01
—
5630890
CIGNA
MD
01
—
PHCS2233915
PCHS
MD
Enumeration date
07/31/2006
Last updated
02/09/2024
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