Healthcare Provider Details

I. General information

NPI: 1508608027
Provider Name (Legal Business Name): SHERREIKA BROWN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. SHERREIKA HOWARD

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BROAD ST
MIDDLETOWN DE
19709-1037
US

IV. Provider business mailing address

401 N BROAD ST
MIDDLETOWN DE
19709-1037
US

V. Phone/Fax

Practice location:
  • Phone: 302-376-0621
  • Fax:
Mailing address:
  • Phone: 302-376-0621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberQ1-0012329
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0012329
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: