Provider Demographics
NPI:1154800985
Name:SHELDON-REECE, LILLIAN WANDA (LCSW)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:WANDA
Last Name:SHELDON-REECE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 NOTTINGHAM PL
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8429
Mailing Address - Country:US
Mailing Address - Phone:954-854-3412
Mailing Address - Fax:
Practice Address - Street 1:102 NOTTINGHAM PL
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8429
Practice Address - Country:US
Practice Address - Phone:954-854-3412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW14052104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker