Provider Demographics
NPI:1326242108
Name:BALDWIN, SHERRY CLAYTON (PHD, CTS, NCLPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:CLAYTON
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:PHD, CTS, NCLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 FOUR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9548
Mailing Address - Country:US
Mailing Address - Phone:828-687-9181
Mailing Address - Fax:828-687-9184
Practice Address - Street 1:19 FOUR OAKS DR
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-9548
Practice Address - Country:US
Practice Address - Phone:828-687-9181
Practice Address - Fax:828-687-9184
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCL FORENSIC F17421101YM0800X
NCNCLPC 429101YP2500X
NCNBCC 8247101YP2500X
NCCTS 0203-1787101YP2500X
NCB.C.E.S.C.R.101YP2500X
NCB.C.E.T.S.101YP2500X
NCNCSC 8247101YS0200X
NCCISM 05344174400000X
NCNEGOTIATOR174400000X
NCNC S.E.R.T. 05344251K00000X
NCJUV. FIRESETTER251S00000X
NCS.M.A.T. II 654273R00000X
NC251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Not Answered174400000XOther Service ProvidersSpecialist
Not Answered251K00000XAgenciesPublic Health or Welfare
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered273R00000XHospital UnitsPsychiatric Unit
Not Answered251300000XAgenciesLocal Education Agency (LEA)