Healthcare Provider Details

I. General information

NPI: 1609879766
Provider Name (Legal Business Name): SHERRYL LYNN BEHRENS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 W MAIN ST STE 10
WAYNESBORO VA
22980-4529
US

IV. Provider business mailing address

4723 WESLEY CHAPEL RD
FREE UNION VA
22940-1930
US

V. Phone/Fax

Practice location:
  • Phone: 434-242-4675
  • Fax:
Mailing address:
  • Phone: 434-242-4675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904005177
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: