Provider Demographics
NPI:1972924207
Name:COLEMAN, SHEILA (MSW)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:55 FISHFRY ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06120-1203
Mailing Address - Country:US
Mailing Address - Phone:860-247-8300
Mailing Address - Fax:860-548-7325
Practice Address - Street 1:55 FISHFRY ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06120-1203
Practice Address - Country:US
Practice Address - Phone:860-247-8300
Practice Address - Fax:860-548-7325
Is Sole Proprietor?:No
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)