Provider Demographics
NPI:1245425123
Name:MALONE, SHEILA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:
Last Name:MALONE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:HORN HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3167 TURNBERRY DRIVE
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48383-3948
Mailing Address - Country:US
Mailing Address - Phone:248-529-6333
Mailing Address - Fax:248-529-6333
Practice Address - Street 1:2200 CANTON CENTER RD
Practice Address - Street 2:STE 250
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187
Practice Address - Country:US
Practice Address - Phone:734-981-8820
Practice Address - Fax:734-981-8816
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801008008104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker