Doctor Name: | MRS. KATHLEEN ANN SHEFFIELD |
NPI Number: | 1417177288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801089023 |
Business Practice Address: | 960 E State St Cassopolis, MI - 490319339 |
Business Phone Number: | 2694452451 |
Business Fax Number: | 2694453216 |
Mailing Address: | 5722 S Bridgeton Ln, SOUTH BEND |
State: | IN |
Postal Code: | 466146317 |
Phone Number: | 5742206141 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801089023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |