Provider Demographics
NPI:1326448010
Name:SHERWOOD, NANCY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 ENERGY LN
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-2941
Mailing Address - Country:US
Mailing Address - Phone:307-247-1424
Mailing Address - Fax:307-439-2113
Practice Address - Street 1:3211 ENERGY LN
Practice Address - Street 2:SUITE 106
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-2941
Practice Address - Country:US
Practice Address - Phone:307-247-1424
Practice Address - Fax:307-439-2113
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-560101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health