Provider Demographics
NPI:1164867917
Name:SEIPEL, KATHLEEN DOLAN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:DOLAN
Last Name:SEIPEL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4618
Mailing Address - Country:US
Mailing Address - Phone:302-367-6380
Mailing Address - Fax:
Practice Address - Street 1:1010 W 4TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3602
Practice Address - Country:US
Practice Address - Phone:302-576-4136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00012171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical