Provider Demographics
NPI:1962109280
Name:MANALEL, SHEENA (LMSW)
Entity type:Individual
Prefix:MS
First Name:SHEENA
Middle Name:
Last Name:MANALEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20102 WINDEMERE DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-3524
Mailing Address - Country:US
Mailing Address - Phone:586-530-1773
Mailing Address - Fax:
Practice Address - Street 1:20102 WINDEMERE DR
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-3524
Practice Address - Country:US
Practice Address - Phone:586-530-1773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010908081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical