Provider Demographics
NPI:1073967956
Name:PENNYFEATHER, SHERISHMA CHANTELL (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:SHERISHMA
Middle Name:CHANTELL
Last Name:PENNYFEATHER
Suffix:
Gender:F
Credentials:MSW, 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 5401
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00851-5401
Mailing Address - Country:US
Mailing Address - Phone:340-226-5676
Mailing Address - Fax:
Practice Address - Street 1:1AB ESTATE WHIM
Practice Address - Street 2:
Practice Address - City:FREDERIKSTED
Practice Address - State:VI
Practice Address - Zip Code:00840
Practice Address - Country:US
Practice Address - Phone:340-226-5676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical