Provider Demographics
NPI:1568699890
Name:PHILPOTT, SHERRI LYNN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNN
Last Name:PHILPOTT
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:L
Other - Last Name:PHILPOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:224 E LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-1824
Mailing Address - Country:US
Mailing Address - Phone:304-671-8287
Mailing Address - Fax:
Practice Address - Street 1:271 MOONSHINE LN
Practice Address - Street 2:
Practice Address - City:HARPERS FERRY
Practice Address - State:WV
Practice Address - Zip Code:25425-4946
Practice Address - Country:US
Practice Address - Phone:304-728-2264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009433221041C0700X
VA09040038771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical