Healthcare Provider Details

I. General information

NPI: 1083104657
Provider Name (Legal Business Name): DAVID SCOTT SHERMAN MA - LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 THOMPSON RD STE 1
WEBSTER MA
01570-1586
US

IV. Provider business mailing address

8 TREMBLAY AVE
PLATTSBURGH NY
12901-2519
US

V. Phone/Fax

Practice location:
  • Phone: 857-250-0045
  • Fax:
Mailing address:
  • Phone: 857-250-0045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number119083
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC22189
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: