Provider Demographics
NPI:1235184474
Name:HOWARD M SHERMAN AND ASSOCIATES, PA
Entity Type:Organization
Organization Name:HOWARD M SHERMAN AND ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-330-9040
Mailing Address - Street 1:1301 S INTERNATIONAL PARKWAY
Mailing Address - Street 2:SUITE 2021
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746
Mailing Address - Country:US
Mailing Address - Phone:407-330-9040
Mailing Address - Fax:407-936-2451
Practice Address - Street 1:1301 S INTERNATIONAL PARKWAY
Practice Address - Street 2:SUITE 2021
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:407-330-9040
Practice Address - Fax:407-936-2451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLCSW00039161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6629ZOtherBCBS
FL1639158140OtherNPI INDV
FLZ6629ZOtherBCBS
FLK9872Medicare ID - Type UnspecifiedMEDICARE