Healthcare Provider Details

I. General information

NPI: 1467951202
Provider Name (Legal Business Name): SHERRY ANN COLLINS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERRY ANN EASTERLING LSW

II. Dates (important events)

Enumeration Date: 02/07/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 DORR ST
TOLEDO OH
43607-3423
US

IV. Provider business mailing address

2345 DORR ST
TOLEDO OH
43607-3423
US

V. Phone/Fax

Practice location:
  • Phone: 419-407-5342
  • Fax: 419-407-5371
Mailing address:
  • Phone: 419-407-5342
  • Fax: 419-407-5371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2513250
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: