Provider Demographics
NPI:1396824231
Name:BILAK, SHEILA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:BILAK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 NW 76TH DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1593
Mailing Address - Country:US
Mailing Address - Phone:352-331-8010
Mailing Address - Fax:352-331-6323
Practice Address - Street 1:310 NW 76TH DR
Practice Address - Street 2:SUITE A
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-1593
Practice Address - Country:US
Practice Address - Phone:352-331-8010
Practice Address - Fax:352-331-6323
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00010551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ0949OtherBLUE CROSS BLUE SHIELD -
FLZ0949OtherBLUE CROSS BLUE SHIELD -