Provider Demographics
NPI:1235292152
Name:SHEELER, LOIS ELLEN (LCSWC)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:ELLEN
Last Name:SHEELER
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 RIDGELYS CHOICE DR
Mailing Address - Street 2:SUITE 212
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236
Mailing Address - Country:US
Mailing Address - Phone:410-529-2151
Mailing Address - Fax:410-529-1342
Practice Address - Street 1:8615 RIDGELYS CHOICE DR
Practice Address - Street 2:SUITE 212 RENEWAL COUNSELING CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236
Practice Address - Country:US
Practice Address - Phone:410-529-2151
Practice Address - Fax:410-529-1342
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD037161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKL86OtherBLUE CROSS BLUE SHIELD
MDKL86OtherBLUE CROSS BLUE SHIELD