MEDICARE: SHERI MARIE COLLINS LCSW

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	LCSW92892	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265961718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI MARIE COLLINS LCSW

Provider Business Mailing Address
First Line	:	9438 PARK AVE
Second Line	:
City	:	NEWCASTLE
State	:	CA
Zip	:	95658-9540
Country	:	US
Telephone Number	:	209-658-9626
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 G ST FL 1
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-1212
Country	:	US
Telephone Number	:	916-875-1908
Fax Number	:

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

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	02/23/2026

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