Provider Demographics
NPI:1184066722
Name:SHEEHAN, KATHLEEN MARGARET (MSW, LCSW, EDD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MARGARET
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:MSW, LCSW, EDD
Other - Prefix:DR
Other - First Name:KAY
Other - Middle Name:MARGARET
Other - Last Name:SHEEHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW, EDD
Mailing Address - Street 1:2305 E ARAPAHOE RD
Mailing Address - Street 2:STE 214
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-1522
Mailing Address - Country:US
Mailing Address - Phone:303-795-1761
Mailing Address - Fax:303-730-1675
Practice Address - Street 1:2305 E ARAPAHOE RD
Practice Address - Street 2:STE 214
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-1522
Practice Address - Country:US
Practice Address - Phone:303-795-1761
Practice Address - Fax:303-730-1675
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8762831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical