Healthcare Provider Details

I. General information

NPI: 1134084841
Provider Name (Legal Business Name): DEE ANN SHERWOOD PH.D., LMSW, MPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2497 ROCKHILL DR NE
GRAND RAPIDS MI
49525-1291
US

IV. Provider business mailing address

2497 ROCKHILL DR NE
GRAND RAPIDS MI
49525-1291
US

V. Phone/Fax

Practice location:
  • Phone: 616-258-0286
  • Fax:
Mailing address:
  • Phone: 616-258-0286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801121274
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: