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NPI Code Detail

MEDICARE: MRS. SHIRLEY Y SHERWOOD LCSW AAC

MEDICARE: MRS. SHIRLEY Y SHERWOOD LCSW AAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker505976TX
2101Y00000XCounselor10620800TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10088CTOTHERTXBCBS

General Provider Information

NPI Number : 1750490488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHIRLEY Y SHERWOOD LCSW AAC
Provider Business Mailing Address
First Line : 902 CRYSTAL FALLS PKWY
Second Line :
City : LEANDER
State : TX
Zip : 78641-3646
Country : US
Telephone Number : 512-421-4023
Fax Number : 512-259-2290
Provider Business Practice Location Address
First Line : 902 CRYSTAL FALLS PKWY
Second Line :
City : LEANDER
State : TX
Zip : 78641-3646
Country : US
Telephone Number : 512-421-4023
Fax Number : 512-259-2290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 12/19/2007

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