Healthcare Provider Details

I. General information

NPI: 1083762611
Provider Name (Legal Business Name): FRAN L. SHERMAN L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SANDTREE DR STE 209
PALM BCH GDNS FL
33403-1538
US

IV. Provider business mailing address

12547 SW PINK PLAYA PKWY
PORT ST LUCIE FL
34987-6974
US

V. Phone/Fax

Practice location:
  • Phone: 561-333-4858
  • Fax:
Mailing address:
  • Phone: 561-312-5570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW 4651
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: