Provider Demographics
NPI:1598480840
Name:SHERMAN, THERESA (LGPC, NCC)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LGPC, NCC
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:NICOLE
Other - Last Name:RINALDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4850 CONNECTICUT AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5941
Mailing Address - Country:US
Mailing Address - Phone:202-946-1305
Mailing Address - Fax:
Practice Address - Street 1:4850 CONNECTICUT AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5941
Practice Address - Country:US
Practice Address - Phone:202-946-1305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC200001429101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health