Provider Demographics
NPI:1093028953
Name:CROWLEY, SHERRI P (LCSW, LICSW)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:P
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 BARTLETT CRESCENT
Mailing Address - Street 2:#4
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5274
Mailing Address - Country:US
Mailing Address - Phone:617-651-1471
Mailing Address - Fax:
Practice Address - Street 1:45 BARTLETT CRESCENT
Practice Address - Street 2:#4
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-4905
Practice Address - Country:US
Practice Address - Phone:617-651-1471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA117449104100000X
NY080269104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker