Ms Nancy Shea, LCSW is a
Social Worker - Clinical based in Lake Mills, Wisconsin. Ms Nancy Shea is licensed to practice in Wisconsin (license number 1697) and her current practice location is
200 E Tyranena Park Rd, Lake Mills, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 648-8393.
NPI number for Ms Nancy Shea is 1265420491 and her current mailing address is 611 Sherman Ave E, Fort Atkinson, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265420491.
Healthcare Provider's Profile
Full Name | Ms Nancy Shea |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 200 E Tyranena Park Rd, Lake Mills, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265420491
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 05/04/2021
Medical Identifiers
Medical identifiers for Ms Nancy Shea such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265420491 | NPI | - | NPPES |
39634600 | Medicaid | WI | |
1011361 | Other | WI | PHYSICIANS PLUS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1697 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nancy Shea is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Nancy Shea, LCSW 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 Ph: (920) 568-6558 | Ms Nancy Shea, LCSW 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 Ph: (920) 648-8393 |
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