Sheehan, Kathleen Mary
Sheehan, Kathleen Mary is an sole proprietor health care provider with primary practice located at 10328 Big Thicket Dr , Austin TX 78747-2706. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sheehan, Kathleen Mary can be contacted via phone (512) 665-3075.Contact Information
Primary practice address
10328 Big Thicket Dr
Austin TX 78747-2706
Phone: (512) 665-3075
Fax: (512) 551-3467
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 27523 | Texas |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 27523 | Texas |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 27523 | Texas |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 27523 | Texas |
Profile Details
NPI number | 1629217989 |
---|---|
LBN Legal business name | Sheehan, Kathleen Mary |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 10th, 2009 |
Last updated | Jan 15th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629217989 | NPPES |
Texas | Other | TXB115692 | MEDICARE PTAN |
Texas | MEDICAID | 040582103 | MEDICARE PTAN |
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