Provider Demographics
NPI:1952328536
Name:SEVIDAL, SHEILA MCDANIEL (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:MCDANIEL
Last Name:SEVIDAL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 SMALL CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1936
Mailing Address - Country:US
Mailing Address - Phone:410-788-0350
Mailing Address - Fax:410-788-2049
Practice Address - Street 1:720C MAIDEN CHOICE LN
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-5940
Practice Address - Country:US
Practice Address - Phone:410-744-1116
Practice Address - Fax:410-788-2049
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD105491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical