Provider Demographics
NPI:1629269964
Name:SHEEHY, SABRINA M (LCSW, MSW)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:M
Last Name:SHEEHY
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:M
Other - Last Name:WALYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:601 MAIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3404
Mailing Address - Country:US
Mailing Address - Phone:503-307-8966
Mailing Address - Fax:503-914-1449
Practice Address - Street 1:601 MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3404
Practice Address - Country:US
Practice Address - Phone:503-307-8966
Practice Address - Fax:503-914-1449
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW603000121041C0700X
ORL50581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical