Provider Demographics
NPI:1932537958
Name:WEXELBERG-CLOUSER, SHEYNA H (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SHEYNA
Middle Name:H
Last Name:WEXELBERG-CLOUSER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:H
Other - Last Name:WEXELBERG-CLOUSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:900 COOPER ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-3398
Mailing Address - Country:US
Mailing Address - Phone:517-780-9500
Mailing Address - Fax:
Practice Address - Street 1:900 COOPER ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-3398
Practice Address - Country:US
Practice Address - Phone:517-780-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010469731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical