Provider Demographics
NPI:1275688525
Name:SCHEELAR, BETSY DURINDA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:DURINDA
Last Name:SCHEELAR
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 NORTHFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21617
Mailing Address - Country:US
Mailing Address - Phone:410-758-5429
Mailing Address - Fax:
Practice Address - Street 1:1686 VILLAGE GRN
Practice Address - Street 2:SUITE 200
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2034
Practice Address - Country:US
Practice Address - Phone:410-721-7265
Practice Address - Fax:410-721-0297
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD096231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical