Provider Demographics
NPI:1609061993
Name:SHER, MARIANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:
Last Name:SHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MARIANNE
Other - Middle Name:
Other - Last Name:SHER TOVRCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 727
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-0025
Mailing Address - Country:US
Mailing Address - Phone:541-292-3991
Mailing Address - Fax:
Practice Address - Street 1:385 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-0025
Practice Address - Country:US
Practice Address - Phone:541-292-3991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL36551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical