Provider Demographics
NPI:1003396565
Name:BISCI, SHERRI GERALDINE (LICSW)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:GERALDINE
Last Name:BISCI
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 1:16 BRICKETT ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01985-2233
Mailing Address - Country:US
Mailing Address - Phone:508-498-9063
Mailing Address - Fax:
Practice Address - Street 1:16 BRICKETT ST
Practice Address - Street 2:
Practice Address - City:WEST NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01985-2233
Practice Address - Country:US
Practice Address - Phone:508-498-9063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA115696104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker