Provider Demographics
NPI:1528388014
Name:SHERMAN, CYNTHIA T (LMSW)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:T
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 SANGERS LN
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-6712
Mailing Address - Country:US
Mailing Address - Phone:315-287-2811
Mailing Address - Fax:315-287-4743
Practice Address - Street 1:28 WILLIAM ST
Practice Address - Street 2:GOUVERNEUR MENTAL HEALTH
Practice Address - City:GOUVERNEUR
Practice Address - State:NY
Practice Address - Zip Code:13642-1405
Practice Address - Country:US
Practice Address - Phone:315-287-2811
Practice Address - Fax:315-287-4743
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077921-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health