Provider Demographics
NPI:1629249131
Name:SHERMAN, EDITH RENEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:EDITH
Middle Name:RENEE
Last Name:SHERMAN
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 1:134 COUNTY ROAD 665
Mailing Address - Street 2:
Mailing Address - City:WYNNE
Mailing Address - State:AR
Mailing Address - Zip Code:72396-8402
Mailing Address - Country:US
Mailing Address - Phone:870-238-5681
Mailing Address - Fax:
Practice Address - Street 1:134 COUNTY ROAD 665
Practice Address - Street 2:
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-8402
Practice Address - Country:US
Practice Address - Phone:870-238-5681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2112-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical