Provider Demographics
NPI:1255176889
Name:PANDEY, SHEELA (LLMSW)
Entity type:Individual
Prefix:
First Name:SHEELA
Middle Name:
Last Name:PANDEY
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:MS
Other - First Name:SHEELA
Other - Middle Name:
Other - Last Name:TEWARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:631 GEDDES RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2717
Mailing Address - Country:US
Mailing Address - Phone:267-978-5347
Mailing Address - Fax:
Practice Address - Street 1:631 GEDDES RIDGE AVE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2717
Practice Address - Country:US
Practice Address - Phone:267-978-5347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68510935491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical