Provider Demographics
NPI:1316549439
Name:SHERWOOD, MARY ELEANOR (MS, CDMS, CCM)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ELEANOR
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:MS, CDMS, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HOORNKILL AVE
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1201
Mailing Address - Country:US
Mailing Address - Phone:302-644-1827
Mailing Address - Fax:
Practice Address - Street 1:116 FRONT ST UNIT 737
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-8028
Practice Address - Country:US
Practice Address - Phone:410-444-1989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE17-98351-67101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional