Provider Demographics
NPI:1649971508
Name:ONEILL-SHEEHAN, ELIZABETH R (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:R
Last Name:ONEILL-SHEEHAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-1438
Mailing Address - Country:US
Mailing Address - Phone:413-519-5393
Mailing Address - Fax:
Practice Address - Street 1:154 ORCHARD RD
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-1438
Practice Address - Country:US
Practice Address - Phone:413-519-5393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1267481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical