Healthcare Provider Details

I. General information

NPI: 1306167457
Provider Name (Legal Business Name): SHERMAN COUNSELING AND CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2010
Last Update Date: 12/08/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 W PASSAIC ST 2ND FL
ROCHELLE PARK NJ
07662-3027
US

IV. Provider business mailing address

336 W PASSAIC ST STE 4
ROCHELLE PARK NJ
07662-3027
US

V. Phone/Fax

Practice location:
  • Phone: 201-845-7030
  • Fax:
Mailing address:
  • Phone: 201-845-7030
  • Fax: 201-845-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00537100
License Number StateNJ

VIII. Authorized Official

Name: VICKI S LOCOCO
Title or Position: OWNER
Credential: LCSW
Phone: 201-845-7030