Healthcare Provider Details

I. General information

NPI: 1982871240
Provider Name (Legal Business Name): ELLEN SHERIDAN-HARNESS RC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELLEN SHERIDAN-HARNESS LCSW

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 KINGS HWY
LEWES DE
19958-1735
US

IV. Provider business mailing address

1515 SAVANNAH RD
LEWES DE
19958-1675
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-2946
  • Fax: 833-437-1401
Mailing address:
  • Phone: 302-645-3499
  • Fax: 302-644-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberQ1-0001650
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: