Provider Demographics
NPI:1467134221
Name:WITHERS, SHEILA (MSW)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:
Last Name:WITHERS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4016 HOHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46327-1239
Mailing Address - Country:US
Mailing Address - Phone:219-769-4005
Mailing Address - Fax:219-937-5808
Practice Address - Street 1:4016 HOHMAN AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46327-1239
Practice Address - Country:US
Practice Address - Phone:219-769-4005
Practice Address - Fax:219-937-5808
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker