Provider Demographics
NPI:1629265491
Name:GARAFFA, SHEILA L (LICSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:L
Last Name:GARAFFA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 RIVER ST
Mailing Address - Street 2:C/O NETWORK MANAGEMENT SERVICES
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05156-2306
Mailing Address - Country:US
Mailing Address - Phone:802-885-5785
Mailing Address - Fax:802-885-2030
Practice Address - Street 1:18 OLD TERRACE
Practice Address - Street 2:SPRINGFIELD HOSPITAL PSYCHIATRY
Practice Address - City:BELLOWS FALLS
Practice Address - State:VT
Practice Address - Zip Code:05101
Practice Address - Country:US
Practice Address - Phone:802-463-1292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00006181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT089-0000618OtherVERMONT LICENSE