Healthcare Provider Details

I. General information

NPI: 1548176605
Provider Name (Legal Business Name): CASSANDRA SHERMAN LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7330 NE BOTHELL WAY STE 202
KENMORE WA
98028-6512
US

IV. Provider business mailing address

7330 NE BOTHELL WAY STE 202
KENMORE WA
98028-6512
US

V. Phone/Fax

Practice location:
  • Phone: 360-818-4267
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70118973
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: