Provider Demographics
NPI:1508167545
Name:FLOYD, SHERROD WAYMAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:SHERROD
Middle Name:WAYMAN
Last Name:FLOYD
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 1:5036 ECHO ST
Mailing Address - Street 2:UNIT 6
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-3900
Mailing Address - Country:US
Mailing Address - Phone:323-216-8822
Mailing Address - Fax:
Practice Address - Street 1:5036 ECHO ST
Practice Address - Street 2:UNIT 6
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-3900
Practice Address - Country:US
Practice Address - Phone:323-216-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA266731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical