Provider Demographics
NPI:1003056243
Name:ADAMS, SHERYL (SHERI) E (LICSW)
Entity Type:Individual
Prefix:MS
First Name:SHERYL (SHERI)
Middle Name:E
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11317 67TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-8560
Mailing Address - Country:US
Mailing Address - Phone:253-514-9948
Mailing Address - Fax:
Practice Address - Street 1:11505 BURNHAM DR NW
Practice Address - Street 2:SUITE 201
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-9173
Practice Address - Country:US
Practice Address - Phone:253-514-9948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-28
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00009514101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health