=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306167457
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHERMAN COUNSELING AND CONSULTING, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2010
-----------------------------------------------------
Last Update Date | 12/08/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 336 W PASSAIC ST 2ND FL
-----------------------------------------------------
City | ROCHELLE PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07662-3027
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-845-7030
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 336 W PASSAIC ST STE 4
-----------------------------------------------------
City | ROCHELLE PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07662-3027
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-845-7030
-----------------------------------------------------
Fax | 201-845-0899
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | VICKI S LOCOCO
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 201-845-7030
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 44SC00537100
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------