MEDICARE: SHERRI RHOTEN CPSW, CFPSW, CCSS

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	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1891306049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI RHOTEN CPSW, CFPSW, CCSS

Provider Business Mailing Address
First Line	:	3222 MERCURY LN
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-7736
Country	:	US
Telephone Number	:	717-688-1406
Fax Number	:

Provider Business Practice Location Address
First Line	:	3222 MERCURY LN
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-7736
Country	:	US
Telephone Number	:	717-688-1406
Fax Number	:

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

Provider Enumeration Date	:	08/12/2020
Last Update Date	:	04/28/2026

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