Healthcare Provider Details

I. General information

NPI: 1184709032
Provider Name (Legal Business Name): SHERRY ANN RAINERI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 03/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 ROBIN DR
HICKORY PA
15340-1501
US

IV. Provider business mailing address

4198 WASHINGTON RD
CANONSBURG PA
15317-2560
US

V. Phone/Fax

Practice location:
  • Phone: 724-579-3771
  • Fax: 724-746-3207
Mailing address:
  • Phone: 724-579-3771
  • Fax: 724-746-3207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW014846
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: