Provider Demographics
NPI:1477851913
Name:SHERLING, JACQUELINE T (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:T
Last Name:SHERLING
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 1:52 FEDERAL ROAD
Mailing Address - Street 2:BLUE SKY BEHAVIORAL HEALTH
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810
Mailing Address - Country:US
Mailing Address - Phone:203-300-5055
Mailing Address - Fax:
Practice Address - Street 1:52 FEDERAL RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6162
Practice Address - Country:US
Practice Address - Phone:203-300-5055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074933104100000X
CT0090551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical