Provider Demographics
NPI:1407903552
Name:SHERK, EDGAR F (LCSW)
Entity Type:Individual
Prefix:MR
First Name:EDGAR
Middle Name:F
Last Name:SHERK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27255 N FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-9115
Mailing Address - Country:US
Mailing Address - Phone:847-487-9455
Mailing Address - Fax:847-487-9360
Practice Address - Street 1:27255 N FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:MUNDELIEN
Practice Address - State:IL
Practice Address - Zip Code:60060-9115
Practice Address - Country:US
Practice Address - Phone:847-487-9455
Practice Address - Fax:847-487-9360
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical