SHEA ANDERSON
NPI 1689964991
Social Worker - Clinical in San Mateo, CA

Q: What is Shea Anderson's NPI number?

The NPI number for Shea Anderson is 1689964991. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Q: What is Shea Anderson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Shea Anderson was last updated on April 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2011

222 W 39TH AVE, SMMC- PAIN CLINIC, SAN MATEO, CA 94403(650) 573-2552(650) 572-2839 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shea Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEA ANDERSON (NPI 1689964991) is an individual clinical provider in San Mateo, California, licensed in California (27103) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1689964991

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHEA ANDERSON

Location Address222 W 39TH AVE, SMMC- PAIN CLINICSan Mateo, CA 94403-4364

Mailing Address222 West 39th Ave, San Mateo Medical Center- Pain ClinicSan Mateo, CA 94403 · (650) 573-2552 · Fax (650) 572-2839

Phone(650) 573-2552

Fax(650) 572-2839

Sole ProprietorNo

Enumeration DateApril 8, 2011

✔ NPI 1689964991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 27103

Definition

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.

222 W 39TH AVE, San Mateo, CA 94403

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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