Provider Demographics
NPI:1649549452
Name:SHEFFLER, KATHRYN HOLDEN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:HOLDEN
Last Name:SHEFFLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:HOLDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 N MILFORD RD STE C
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-1070
Mailing Address - Country:US
Mailing Address - Phone:248-310-7086
Mailing Address - Fax:
Practice Address - Street 1:1201 N MILFORD RD STE C
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1070
Practice Address - Country:US
Practice Address - Phone:248-310-7086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010867401041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical