Provider Demographics
NPI:1164626677
Name:SHERWOOD, FRANCINE ALISA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FRANCINE
Middle Name:ALISA
Last Name:SHERWOOD
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 1:3062 NW 91ST AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5008
Mailing Address - Country:US
Mailing Address - Phone:754-246-3758
Mailing Address - Fax:
Practice Address - Street 1:3062 NW 91ST AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5008
Practice Address - Country:US
Practice Address - Phone:754-246-3758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2012-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW34211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5893Medicare ID - Type UnspecifiedMEDICARE PART B