Healthcare Provider Details

I. General information

NPI: 1356328702
Provider Name (Legal Business Name): SHERRI LEE NEWKIRK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL REGIONAL MEDICAL CENTER CHILD AND ADOLESCENT PSYCHIATRY
APO AE
09180
DE

IV. Provider business mailing address

LANDSTUHL REGIONAL MEDICAL CENTER ATTNL MCEUL-DCCS (CREDENTIALS) CMR 402
APO AE
09180
DE

V. Phone/Fax

Practice location:
  • Phone: 011496371866037
  • Fax:
Mailing address:
  • Phone: 011496371868839
  • Fax: 011496371866133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3515
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: