Doctor Name: | MR. STEPHEN EDGAR SHEETS |
NPI Number: | 1023025350 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W. |
License Number: | 34005097A |
Business Practice Address: | 1700 E 38th St Attn: Social Work Marion, IN - 469534568 |
Business Phone Number: | 8004988792 |
Business Fax Number: | |
Mailing Address: | 1700 E 38th St, Attn Social Work MARION |
State: | IN |
Postal Code: | 469534568 |
Phone Number: | 8003608387 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34005097A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |