=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316217128
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHEILA BARBARA ALBERS LCSW, CAP, C-CATODSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2012
-----------------------------------------------------
Last Update Date | 01/25/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | ASAP - USAG HOHENFELS - UNIT 28216 ATTN: IMEU-HHF-HRA
-----------------------------------------------------
City | APO
-----------------------------------------------------
State | AE
-----------------------------------------------------
Zip | 09173
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 011499472831710
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | CMR 414 BOX 1449
-----------------------------------------------------
City | APO
-----------------------------------------------------
State | AE
-----------------------------------------------------
Zip | 09173
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 011499472831710
-----------------------------------------------------
Fax | 011499472832844
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | SW 10381
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------