Doctor Name: | LISA SHERWOOD |
NPI Number: | 1558409573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWR |
License Number: | R047040-1 |
Business Practice Address: | 2800 Brown Rd Newfane, NY - 141089713 |
Business Phone Number: | 7165500029 |
Business Fax Number: | |
Mailing Address: | 2800 Brown Rd, NEWFANE |
State: | NY |
Postal Code: | 141089713 |
Phone Number: | 7167786069 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R047040-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |