Provider Demographics
NPI:1154294072
Name:SHEAHAN, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SHEAHAN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:SHIRE
Other - Middle Name:
Other - Last Name:SHEAHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:320 SYNDICATE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:320 SYNDICATE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-2121
Practice Address - Country:US
Practice Address - Phone:703-989-9967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical