Provider Demographics
NPI:1720583883
Name:MURPHY, SHELAGH PATRICIA (LCSW)
Entity Type:Individual
Prefix:
First Name:SHELAGH
Middle Name:PATRICIA
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 WATERSCAPE WAY # 297
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-7097
Mailing Address - Country:US
Mailing Address - Phone:252-242-2146
Mailing Address - Fax:
Practice Address - Street 1:23 HARBOUR WALK
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562
Practice Address - Country:US
Practice Address - Phone:252-242-2146
Practice Address - Fax:646-537-9290
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086975104100000X
NY086975-1104100000X
NCCO13578104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker