Healthcare Provider Details

I. General information

NPI: 1568508604
Provider Name (Legal Business Name): SHEILA MARIE ALBERS LCSW CASAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEILA NEWCOMB

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 MILTON ST
GENEVA NY
14456
US

IV. Provider business mailing address

3158 E CEDARBUSH DR
CANANDAIGUA NY
14424
US

V. Phone/Fax

Practice location:
  • Phone: 315-781-2537
  • Fax: 315-789-8291
Mailing address:
  • Phone: 585-393-0236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberR035123
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: