MEDICARE: ELAINE L SHERWOOD LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	113720	MA

General Provider Information

NPI Number	:	1154809473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE L SHERWOOD LICSW

Provider Business Mailing Address
First Line	:	90 ROLLING ACRES RD
Second Line	:
City	:	LUNENBURG
State	:	MA
Zip	:	01462-1549
Country	:	US
Telephone Number	:	978-602-6636
Fax Number	:

Provider Business Practice Location Address
First Line	:	370 MAIN ST
Second Line	:
City	:	TOWNSEND
State	:	MA
Zip	:	01474-1052
Country	:	US
Telephone Number	:	508-887-1843
Fax Number	:	888-494-0331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2018
Last Update Date	:	02/16/2024

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