MEDICARE: DR. CONSTANCE C SHERWOOD ED.D. LPCC

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
1	101YM0800X	Mental Health Counselor	E3947	OH

General Provider Information

NPI Number	:	1902865140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CONSTANCE C SHERWOOD ED.D. LPCC

Provider Business Mailing Address
First Line	:	7475 ALGONQUIN DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-3517
Country	:	US
Telephone Number	:	513-271-3095
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 5 MILE RD
Second Line	:	SUITE 240
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2163
Country	:	US
Telephone Number	:	513-232-3070
Fax Number	:	513-232-5794

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	07/08/2007

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