Provider Demographics
NPI:1497471460
Name:SHEERIN, CHRISTINA RUTH (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:RUTH
Last Name:SHEERIN
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 1:2545 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2613
Mailing Address - Country:US
Mailing Address - Phone:541-556-9225
Mailing Address - Fax:
Practice Address - Street 1:1188 OLIVE ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3547
Practice Address - Country:US
Practice Address - Phone:541-203-3916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL40091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical