Provider Demographics
NPI:1053663542
Name:DOBBINS, SHERITA RENEE' (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHERITA
Middle Name:RENEE'
Last Name:DOBBINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MS
Mailing Address - Zip Code:39730-0686
Mailing Address - Country:US
Mailing Address - Phone:662-436-0604
Mailing Address - Fax:662-369-1739
Practice Address - Street 1:530 HIGHWAY 145 N STE A
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MS
Practice Address - Zip Code:39730-2156
Practice Address - Country:US
Practice Address - Phone:662-436-0604
Practice Address - Fax:662-369-1739
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC82961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical