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NPI Code Detail

MEDICARE: MRS. SHELIA DEVAUGHN DUNCAN WHEELER LCSW-C, LCSW, LICSW

MEDICARE: MRS. SHELIA DEVAUGHN DUNCAN WHEELER LCSW-C, LCSW, LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLC50079968DC
21041C0700XClinical Social Worker4211CAL
31041C0700XClinical Social Worker57030TX
41041C0700XClinical Social Worker090411126VA
51041C0700XClinical Social Worker86016CA
61041C0700XClinical Social WorkerC012837NC
71041C0700XClinical Social WorkerSW19720FL
81041C0700XClinical Social Worker17985MD

General Provider Information

NPI Number : 1053613109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHELIA DEVAUGHN DUNCAN WHEELER LCSW-C, LCSW, LICSW
Provider Business Mailing Address
First Line : 28202 CABOT RD STE 300
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-1249
Country : US
Telephone Number : 888-504-6681
Fax Number : 888-972-6562
Provider Business Practice Location Address
First Line : 3333 CLARK RD STE 110
Second Line :
City : SARASOTA
State : FL
Zip : 34231-8437
Country : US
Telephone Number : 888-504-6681
Fax Number : 888-972-6562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2010
Last Update Date : 02/12/2026

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