Provider Demographics
NPI:1508908070
Name:REAVES, SHERRY LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:LYNN
Last Name:REAVES
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 1:5840 S MEMORIAL DR
Mailing Address - Street 2:SUITE 3003
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-9023
Mailing Address - Country:US
Mailing Address - Phone:918-576-8744
Mailing Address - Fax:918-728-6399
Practice Address - Street 1:5840 S MEMORIAL DR
Practice Address - Street 2:SUITE 3003
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-9023
Practice Address - Country:US
Practice Address - Phone:918-576-8744
Practice Address - Fax:918-728-6399
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical