Provider Demographics
NPI:1235533043
Name:LUDWICK, SHERRIE LYNNE (MS, LGPC)
Entity Type:Individual
Prefix:MS
First Name:SHERRIE
Middle Name:LYNNE
Last Name:LUDWICK
Suffix:
Gender:F
Credentials:MS, LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11201 HEALY ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3219
Mailing Address - Country:US
Mailing Address - Phone:240-997-1612
Mailing Address - Fax:
Practice Address - Street 1:9660 IRON LEAF TRAIL
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723
Practice Address - Country:US
Practice Address - Phone:301-490-1011
Practice Address - Fax:301-490-1484
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP5938101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health