Doctor Name: | ALEXIS SHEEHAN |
NPI Number: | 1407236730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW018561 |
Business Practice Address: | 1600 Coraopolis Heights Rd Suite E Moon Township, PA - 151084316 |
Business Phone Number: | 4122622415 |
Business Fax Number: | 4122621537 |
Mailing Address: | 11279 Perry Hwy, Suite 450 WEXFORD |
State: | PA |
Postal Code: | 150909381 |
Phone Number: | 7249331100 |
Fax Number: | 7249331160 |
NPI Enumeration Date: | 06/02/2015 |
NPI Last Update Date: | 06/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW018561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |