Provider Demographics
NPI:1316198765
Name:FLORES, SHERYL FAYE (LCSW,MSW)
Entity Type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:FAYE
Last Name:FLORES
Suffix:
Gender:F
Credentials:LCSW,MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 ROCKLAND RD
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-8648
Mailing Address - Country:US
Mailing Address - Phone:920-737-3973
Mailing Address - Fax:
Practice Address - Street 1:421 NEBRASKA STREET
Practice Address - Street 2:DOOR COUNTY COMMUNITY PROGRAMS
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235
Practice Address - Country:US
Practice Address - Phone:920-746-2345
Practice Address - Fax:920-746-2439
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1510-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical