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General NPI Number Information
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NPI Number | 1013689322
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Entity Type | Individual
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Provider Name | KIMBERLY SHERMAN LCSW. LCSW-C, LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 3780 MAYORS WAY
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City | FAIRFAX
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State | VA
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Zip | 22030-4751
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Country | US
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Telephone | 301-541-7376
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Fax |
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Provider Business Mailing Address
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Address Line | 3780 MAYORS WAY
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City | FAIRFAX
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State | VA
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Zip | 22030-4751
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW025298
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 26354
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200002471
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904014894
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License Number State | VA
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