Provider Demographics
NPI:1629367016
Name:KAPUR, SHEILA IRENE (LISW)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:IRENE
Last Name:KAPUR
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 OLD HENDERSON RD
Mailing Address - Street 2:SUITE N245
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3626
Mailing Address - Country:US
Mailing Address - Phone:614-715-4245
Mailing Address - Fax:888-974-0261
Practice Address - Street 1:1550 OLD HENDERSON RD
Practice Address - Street 2:SUITE N245
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3626
Practice Address - Country:US
Practice Address - Phone:614-715-4245
Practice Address - Fax:888-974-0261
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2015-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 10003491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical