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CHRISTOPHER MARK SHEA
NPI 1972048544
Social Worker - Clinical in New York, NY

Active since January 05, 2017Opted out of Medicare · through Aug 28, 2026
303A W 21ST ST APT 1W, NEW YORK, NY 10011(646) 460-3101 Get Directions Write a Review

NPPES record last updated: April 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christopher Mark Shea NPPES

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

CHRISTOPHER MARK SHEA (NPI 1972048544) is an individual clinical provider in New York, New York, licensed in New York (089479) and active in the NPI registry since January 2017. He has opted out of Medicare through August 28, 2026 and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1972048544
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHRISTOPHER MARK SHEA
Location Address303A W 21ST ST APT 1WNew York, NY 10011-3076
Mailing Address303a W 21st St, 1wNew York, NY 10011-3003 · (646) 460-3101
Phone(646) 460-3101
Sole ProprietorYes
Enumeration DateJanuary 5, 2017
Last NPPES UpdateApril 22, 2023
NPPES CertifiedApril 22, 2023
✔ NPI 1972048544 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 NY · 089479
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.
303A W 21ST ST APT 1W, New York, NY 10011
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Secondary Practice Location 1

Location 180 5th Ave Fl 9New York, NY 10011-8002 · Phone (646) 460-3101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Christopher Mark Shea has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 28, 2024 through August 28, 2026.

Opt-Out Effective DateAugust 28, 2024
Opt-Out In Effect ThroughAugust 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Christopher Shea's NPI number?

The NPI number for Christopher Shea is 1972048544. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Where is Christopher Shea located?

Christopher Shea practices at 303A W 21st St Apt 1W, New York, NY 10011. The listed phone number is (646) 460-3101.

What is Christopher Shea's specialty?

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

Is Christopher Shea enrolled in Medicare?

No. Christopher Shea has opted out of Medicare through August 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Christopher Shea was last updated on April 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.