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MICHAEL P SHEA LCSW-C, MSW, ED.D.
NPI 1730195629
Social Worker - Clinical in Hagerstown, MD

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
324 E ANTIETAM ST STE 104, HAGERSTOWN, MD 21740(240) 707-1454(301) 800-7808 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2024, Feb 20, 2018 (2 updates tracked since 2018).

About Michael P Shea Lcsw-c, Msw, Ed.d. NPPES

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

MICHAEL P SHEA LCSW-C, MSW, ED.D. (NPI 1730195629) is an individual clinical provider in Hagerstown, Maryland, licensed in Maryland (05426) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1730195629
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL P SHEACredential: LCSW-C, MSW, ED.D.
Location Address324 E ANTIETAM ST STE 104Hagerstown, MD 21740-5754
Mailing Address347 Laurel LnWaynesboro, PA 17268-1868 · (717) 816-5882
Phone(240) 707-1454
Fax(301) 800-7808
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 31, 2006
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1730195629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MD · 05426✔ Licensed in FL · SW8222
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.
324 E ANTIETAM ST STE 104, Hagerstown, MD 21740
Open in Google Maps ↗

Other Identifiers 6

Other4573462MD · Aetna
Other533585-03MD · Bcbs
Medicaid000395600MD
Other121731MD · John Hopkins Health Care
Other5630890MD · Cigna
OtherPHCS2233915MD · Pchs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael P Shea Lcsw-c, Msw, Ed.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133378623
PECOS Enrollment IDI20170926000141
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
132 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

POTOMAC CASE MANAGEMENT SERVICES, INC.
Counselor (Mental Health)
324 E ANTIETAM ST STE 104
HAGERSTOWN, MD 21740
Washington County (301) 791-3087
DAVID RODRIGUEZ LGPC
Counselor (Mental Health)
324 E ANTIETAM ST STE 104
HAGERSTOWN, MD 21740
Washington County (301) 791-3087
LIFE COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
324 E ANTIETAM ST STE 104
HAGERSTOWN, MD 21740
Washington County (240) 707-1454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Shea's NPI number?

The NPI number for Michael Shea is 1730195629. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Michael Shea located?

Michael Shea practices at 324 E Antietam St Ste 104, Hagerstown, MD 21740. The listed phone number is (240) 707-1454.

What is Michael Shea's specialty?

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

Is Michael Shea enrolled in Medicare?

Yes. Michael Shea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Shea accept?

Health plans from Providence Health Plan and UnitedHealthcare list Michael Shea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Shea was last updated on February 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.