| Doctor Name: | MRS. SHERRI LYNN KENIG |
| NPI Number: | 1275782070 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 149-007216 |
| Business Practice Address: | 3001 6th St Ste A Naval Health Clinic Mental Health Great Lakes, IL - 600882833 |
| Business Phone Number: | 8476883607 |
| Business Fax Number: | |
| Mailing Address: | 1681 N Locke Ln, VERNON HILLS |
| State: | IL |
| Postal Code: | 600611062 |
| Phone Number: | 8479180334 |
| Fax Number: | 8479186064 |
| NPI Enumeration Date: | 09/17/2008 |
| NPI Last Update Date: | 09/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149-007216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |