Healthcare Provider Details

I. General information

NPI: 1881994366
Provider Name (Legal Business Name): ANN SHERMAN MSW, RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2010
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 VANDERBILT AVE
NORWOOD MA
02062-5011
US

IV. Provider business mailing address

25 WESLEY ST
DEDHAM MA
02026-6607
US

V. Phone/Fax

Practice location:
  • Phone: 781-551-0405
  • Fax:
Mailing address:
  • Phone: 781-686-1003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number111076
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number264316
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: