Provider Demographics
NPI:1982871240
Name:SHERIDAN-HARNESS, ELLEN (RC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:SHERIDAN-HARNESS
Suffix:
Gender:F
Credentials:RC
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:
Other - Last Name:SHERIDAN-HARNESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1515 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1675
Mailing Address - Country:US
Mailing Address - Phone:302-645-3499
Mailing Address - Fax:302-644-4830
Practice Address - Street 1:1250 KINGS HWY
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1735
Practice Address - Country:US
Practice Address - Phone:302-644-2946
Practice Address - Fax:833-437-1401
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00016501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical