Provider Demographics
NPI:1164030326
Name:SHERIFF, LAURA ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:SHERIFF
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 1:8371 CARDOVA RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1507
Mailing Address - Country:US
Mailing Address - Phone:804-516-0816
Mailing Address - Fax:
Practice Address - Street 1:8371 CARDOVA RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1507
Practice Address - Country:US
Practice Address - Phone:804-516-0816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904010137104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker