Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP R SHERIDAN, LCSW
ActivePHILIP R SHERIDAN, LCSW is a Clinical Social Worker healthcare provider located in BELLEVUE, Idaho. NPI 1619993581 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BELLEVUE, ID
Registration Details
- NPI Number
- 1619993581
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2006 (20.057785742712 yrs)
- Last Updated
- Aug 29, 2025
- Licenses
-
LCSW-7671154 (ID)LCSW24911 (ID)LCSW-7671154 (ID)
Practice Information
- Address
-
161 COWCATCHER LOOPBELLEVUE, ID, 833135289Browse ID providers · Browse ZIP 83313
- Phone
- 8018843809
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.