Provider Demographics
NPI:1710060579
Name:HOUGHTON-ANTONUCCI, SHEILA MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:MARIE
Last Name:HOUGHTON-ANTONUCCI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:SHEILA
Other - Middle Name:MARIE
Other - Last Name:HOUGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:805 RESERVE CHAMPION DR APT 102
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6646
Mailing Address - Country:US
Mailing Address - Phone:412-889-0994
Mailing Address - Fax:
Practice Address - Street 1:8091 WISCONSIN AVENUE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-3348
Practice Address - Country:US
Practice Address - Phone:301-319-7981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2023-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0138961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical