Provider Demographics
NPI:1578348033
Name:SHER, MICHAELA (LCSW)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:
Last Name:SHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MICA
Other - Middle Name:
Other - Last Name:SHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12 SEWALL AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5102
Mailing Address - Country:US
Mailing Address - Phone:617-333-8742
Mailing Address - Fax:
Practice Address - Street 1:12 SEWALL AVE
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5102
Practice Address - Country:US
Practice Address - Phone:617-333-8742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW2291331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical