Provider Demographics
NPI:1609879766
Name:BEHRENS, SHERRYL LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:SHERRYL
Middle Name:LYNN
Last Name:BEHRENS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4723 WESLEY CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:FREE UNION
Mailing Address - State:VA
Mailing Address - Zip Code:22940-1930
Mailing Address - Country:US
Mailing Address - Phone:434-242-4675
Mailing Address - Fax:
Practice Address - Street 1:531 W MAIN ST
Practice Address - Street 2:STE 10
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-4529
Practice Address - Country:US
Practice Address - Phone:434-242-4675
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040051771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical