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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629217989 NPPES
Texas Other TXB115692 MEDICARE PTAN
Texas MEDICAID 040582103 MEDICARE PTAN

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