Healthcare Provider Details

I. General information

NPI: 1275240079
Provider Name (Legal Business Name): MARIE SHERMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3261 COMMERCIAL WAY
SPRING HILL FL
34606
US

IV. Provider business mailing address

3261 COMMERCIAL WAY
SPRING HILL FL
34606-2694
US

V. Phone/Fax

Practice location:
  • Phone: 352-686-3188
  • Fax:
Mailing address:
  • Phone: 352-686-3188
  • Fax: 352-686-9394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW20849
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: