Provider Demographics
NPI:1487845921
Name:SHERMAN, CAROL (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CAROL SHERMAN
Mailing Address - Street 1:220 GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-1747
Mailing Address - Country:US
Mailing Address - Phone:610-892-6952
Mailing Address - Fax:186-673-3092
Practice Address - Street 1:1601 CONCORD PIKE
Practice Address - Street 2:92-100
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3612
Practice Address - Country:US
Practice Address - Phone:302-723-9361
Practice Address - Fax:866-733-0929
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00006931041C0700X
PASW1231481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical