Provider Demographics
NPI:1477704427
Name:SHELDON, PATRICIA AILEEN (LCSW, LMFT, MSSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:AILEEN
Last Name:SHELDON
Suffix:
Gender:F
Credentials:LCSW, LMFT, MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 BRECKENRIDGE LN
Mailing Address - Street 2:SUITE 6
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-2798
Mailing Address - Country:US
Mailing Address - Phone:502-491-6905
Mailing Address - Fax:502-493-0504
Practice Address - Street 1:3103 BRECKENRIDGE LN
Practice Address - Street 2:SUITE 6
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-2798
Practice Address - Country:US
Practice Address - Phone:502-491-6905
Practice Address - Fax:502-493-0504
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31591041C0700X
KY0664106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist