Provider Demographics
NPI:1871559328
Name:BENDER, SHEILA (LMSW)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:BENDER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:CROWELL-HENDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:923 S LANSING ST
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-1917
Mailing Address - Country:US
Mailing Address - Phone:517-930-3071
Mailing Address - Fax:517-247-2842
Practice Address - Street 1:3355 DUNCKEL RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4250
Practice Address - Country:US
Practice Address - Phone:517-930-3071
Practice Address - Fax:517-247-2842
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010788761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical