MEDICARE: MS. DARRYL SHERMAN 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	078902-1	NY

General Provider Information

NPI Number	:	1841576410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DARRYL SHERMAN LCSW

Provider Business Mailing Address
First Line	:	174 W 72ND ST
Second Line	:	APT 5F
City	:	NEW YORK
State	:	NY
Zip	:	10023-3334
Country	:	US
Telephone Number	:	240-418-9710
Fax Number	:	347-244-7215

Provider Business Practice Location Address
First Line	:	174 W 72ND ST
Second Line	:	APT 5F
City	:	NEW YORK
State	:	NY
Zip	:	10023-3334
Country	:	US
Telephone Number	:	240-418-9710
Fax Number	:	347-244-7215

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

Provider Enumeration Date	:	10/27/2011
Last Update Date	:	10/27/2011

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