Provider Demographics
NPI:1063816767
Name:SHEA, CHELSEA M (NCC, LMHC, LADC)
Entity Type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:M
Last Name:SHEA
Suffix:
Gender:F
Credentials:NCC, LMHC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HARBOR ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3390
Mailing Address - Country:US
Mailing Address - Phone:817-879-0381
Mailing Address - Fax:
Practice Address - Street 1:58 PULASKI ST STE 124
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-1800
Practice Address - Country:US
Practice Address - Phone:781-879-0381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20700101YA0400X
101YM0800X, 171M00000X
NY011392101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health