MEDICARE: JULIE M. SHEA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	8368-123	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952840563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE M. SHEA LCSW

Provider Business Mailing Address
First Line	:	W7933 VERMEER ST
Second Line	:
City	:	HOLMEN
State	:	WI
Zip	:	54636-4201
Country	:	US
Telephone Number	:	608-218-4245
Fax Number	:	920-383-3299

Provider Business Practice Location Address
First Line	:	704 SAND LAKE RD STE 207E
Second Line	:
City	:	ONALASKA
State	:	WI
Zip	:	54650-2400
Country	:	US
Telephone Number	:	608-218-4245
Fax Number	:	920-383-3299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2017
Last Update Date	:	04/07/2025

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