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NPI Code Detail

MEDICARE: SHEILA MIKEL

MEDICARE:   SHEILA  MIKEL
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 Worker

General Provider Information

NPI Number : 1871983825
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA MIKEL
Provider Business Mailing Address
First Line : 1635 CHESTNUT ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37408-1024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1635 CHESTNUT ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37408-1024
Country : US
Telephone Number : 423-400-5558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2015
Last Update Date : 01/30/2015

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Directions to “ SHEILA MIKEL ” Practice Location

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