Provider Demographics
NPI:1467828335
Name:SHEILA D. GINGERICH, LCSW
Entity Type:Organization
Organization Name:SHEILA D. GINGERICH, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GINGERICH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:941-376-6440
Mailing Address - Street 1:2831 RINGLING BLVD
Mailing Address - Street 2:SUITE F-123
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5334
Mailing Address - Country:US
Mailing Address - Phone:941-376-6440
Mailing Address - Fax:
Practice Address - Street 1:2831 RINGLING BLVD
Practice Address - Street 2:SUITE F-123
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5334
Practice Address - Country:US
Practice Address - Phone:941-376-6440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW128721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty