Provider Demographics
NPI:1467858001
Name:NICHOLS, SHEILA DUPONT (MSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:DUPONT
Last Name:NICHOLS
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 1:425 CALBURN CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1260
Mailing Address - Country:US
Mailing Address - Phone:320-322-8589
Mailing Address - Fax:320-652-1403
Practice Address - Street 1:109 WEST 7TH ST.
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-2236
Practice Address - Country:US
Practice Address - Phone:320-652-1405
Practice Address - Fax:320-652-1403
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)