Provider Demographics
NPI:1346478922
Name:LEVY, SCHERRY (PHD, LICSW)
Entity Type:Individual
Prefix:DR
First Name:SCHERRY
Middle Name:
Last Name:LEVY
Suffix:
Gender:F
Credentials:PHD, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX U
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-3379
Mailing Address - Country:US
Mailing Address - Phone:405-501-4200
Mailing Address - Fax:
Practice Address - Street 1:401 W MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2837
Practice Address - Country:US
Practice Address - Phone:405-501-4200
Practice Address - Fax:833-696-1492
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1282-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical