Provider Demographics
NPI:1053613109
Name:DUNCAN WHEELER, SHELIA DEVAUGHN (LCSW-C, LCSW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:SHELIA
Middle Name:DEVAUGHN
Last Name:DUNCAN WHEELER
Suffix:
Gender:F
Credentials:LCSW-C, LCSW, LICSW
Other - Prefix:
Other - First Name:SHELIA
Other - Middle Name:DEVAUGHN
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C, LCSW, LICSW
Mailing Address - Street 1:PO BOX 2027
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92654-2027
Mailing Address - Country:US
Mailing Address - Phone:888-504-6681
Mailing Address - Fax:888-972-6562
Practice Address - Street 1:28202 CABOT RD STE 300
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-1249
Practice Address - Country:US
Practice Address - Phone:888-504-6681
Practice Address - Fax:888-972-6562
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW197201041C0700X
OK69391041C0700X
VA0904111261041C0700X
NCC0128371041C0700X
DCLC500799681041C0700X
TX570301041C0700X
MD179851041C0700X
AK4211C1041C0700X
CA860161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD069658700Medicaid