Provider Demographics
NPI:1225180565
Name:WHITFIELD, SHERMAN KIEL (SOPCIAL WORKER)
Entity Type:Individual
Prefix:MS
First Name:SHERMAN
Middle Name:KIEL
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:SOPCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LITTLE FOX TRL
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-5033
Mailing Address - Country:US
Mailing Address - Phone:706-596-5517
Mailing Address - Fax:706-596-5589
Practice Address - Street 1:2100 COMER AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-8725
Practice Address - Country:US
Practice Address - Phone:706-570-5365
Practice Address - Fax:706-596-5589
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0034211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical