Provider Demographics
NPI:1356084255
Name:HEBERS, SHEILA (PHD, LCSW)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HEBERS
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 E BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-4002
Mailing Address - Country:US
Mailing Address - Phone:480-544-0040
Mailing Address - Fax:
Practice Address - Street 1:4417 E BANNOCK ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-4002
Practice Address - Country:US
Practice Address - Phone:480-544-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ183761041C0700X
COCSW.009916281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical