Doctor Name: | MS. MAUREEN THERESA SHEEHAN |
NPI Number: | 1003010034 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW |
License Number: | 071920 |
Business Practice Address: | 853 Broadway Suite 1201 New York, NY - 100034717 |
Business Phone Number: | 6462668712 |
Business Fax Number: | |
Mailing Address: | 255 Fieldston Terrace, BRONX |
State: | NY |
Postal Code: | 104713065 |
Phone Number: | 7187966408 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 071920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |