Healthcare Provider Details

I. General information

NPI: 1063679736
Provider Name (Legal Business Name): SHERI MARIE CROSSETT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 ROSS ST
BATAVIA NY
14020-2394
US

IV. Provider business mailing address

96 ROSS ST
BATAVIA NY
14020-2394
US

V. Phone/Fax

Practice location:
  • Phone: 585-343-2480
  • Fax: 585-815-0537
Mailing address:
  • Phone: 585-343-2480
  • Fax: 585-815-0537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: