Provider Demographics
NPI:1609997410
Name:SHEEHAN, CONSTANCE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:MARIE
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 E WACKER DR
Mailing Address - Street 2:600
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-3756
Mailing Address - Country:US
Mailing Address - Phone:312-727-0205
Mailing Address - Fax:
Practice Address - Street 1:75 E WACKER DR
Practice Address - Street 2:SUITE 600
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-3756
Practice Address - Country:US
Practice Address - Phone:312-727-0205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490112951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical