Provider Demographics
NPI:1386755684
Name:WELSH, SHEILA VAHNINGLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:VAHNINGLE
Last Name:WELSH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:SHEILA
Other - Middle Name:VAHNINGLE
Other - Last Name:BOWRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 84108
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073-0108
Mailing Address - Country:US
Mailing Address - Phone:310-478-3711
Mailing Address - Fax:310-268-4849
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:310-268-4849
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174331041C0700X, 251B00000X, 282N00000X, 310400000X, 320800000X, 322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered251B00000XAgenciesCase Management
Not Answered282N00000XHospitalsGeneral Acute Care Hospital
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Not Answered322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children