Provider Demographics
NPI:1932357449
Name:SEELKE, GILDA (LCSW)
Entity Type:Individual
Prefix:
First Name:GILDA
Middle Name:
Last Name:SEELKE
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 1:14410 SOMMERVILLE CT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6813
Mailing Address - Country:US
Mailing Address - Phone:407-590-8492
Mailing Address - Fax:804-897-9359
Practice Address - Street 1:14410 SOMMERVILLE CT
Practice Address - Street 2:SUITE 101
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6813
Practice Address - Country:US
Practice Address - Phone:407-590-8492
Practice Address - Fax:804-897-9359
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW78001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical