Provider Demographics
NPI:1720155112
Name:TEPLIN, SHEILA FOX (MSW)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:FOX
Last Name:TEPLIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 THAYER AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-3313
Mailing Address - Country:US
Mailing Address - Phone:310-474-8372
Mailing Address - Fax:
Practice Address - Street 1:939 THAYER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3313
Practice Address - Country:US
Practice Address - Phone:310-474-8372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 126481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical