Provider Demographics
NPI:1346394632
Name:SHEEHAN, SHEILA CONAIRE (LCSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:CONAIRE
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 VICTORIA DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-2398
Mailing Address - Country:US
Mailing Address - Phone:860-997-3233
Mailing Address - Fax:
Practice Address - Street 1:765 VICTORIA DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-2398
Practice Address - Country:US
Practice Address - Phone:860-997-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2014-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0152741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical