Provider Demographics
NPI:1841696994
Name:SHEEHAN, NANCY (LMHC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 8TH AVE
Mailing Address - Street 2:902
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6504
Mailing Address - Country:US
Mailing Address - Phone:212-679-4960
Mailing Address - Fax:212-399-8902
Practice Address - Street 1:683 LEVERETT AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-2044
Practice Address - Country:US
Practice Address - Phone:917-620-8408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174V00000X
NY007233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174V00000XOther Service ProvidersClinical Ethicist