Provider Demographics
NPI:1164934410
Name:WOODS, SHERRI DIONNE (LISW-S)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:DIONNE
Last Name:WOODS
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:DR
Other - First Name:SHERRI
Other - Middle Name:DIONNE
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMIN
Mailing Address - Street 1:2832 MERRIWEATHER ST NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44485-2509
Mailing Address - Country:US
Mailing Address - Phone:330-984-1888
Mailing Address - Fax:
Practice Address - Street 1:1920 CHURCHILL RD STE 200
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-2484
Practice Address - Country:US
Practice Address - Phone:330-410-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1100082-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical