Provider Demographics
NPI:1467735902
Name:NEVINGER, SHERI (LCSW)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:NEVINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-1138
Mailing Address - Country:US
Mailing Address - Phone:585-243-1730
Mailing Address - Fax:
Practice Address - Street 1:2578 GENESEE ST
Practice Address - Street 2:YORK CENTRAL SCHOOL
Practice Address - City:RETSOF
Practice Address - State:NY
Practice Address - Zip Code:14539
Practice Address - Country:US
Practice Address - Phone:585-243-1730
Practice Address - Fax:585-243-5269
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0441701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical