Provider Demographics
NPI:1578241410
Name:CARR, SHERRI ELLEN (LMSW)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:ELLEN
Last Name:CARR
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 1:18711 FAIRMONT SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7307
Mailing Address - Country:US
Mailing Address - Phone:281-782-6169
Mailing Address - Fax:
Practice Address - Street 1:13722 OFFICE PARK DR STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2891
Practice Address - Country:US
Practice Address - Phone:281-900-4477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104772104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker