Provider Demographics
NPI:1689233314
Name:MASON, SHERRY (SW)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OWINGS CT STE 8
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-3045
Mailing Address - Country:US
Mailing Address - Phone:443-273-3754
Mailing Address - Fax:
Practice Address - Street 1:100 OWINGS CT STE 8
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3045
Practice Address - Country:US
Practice Address - Phone:443-273-3754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker