Provider Demographics
NPI:1689948622
Name:BAKER-BRUSTER, SHERI DAWN (LMSW)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:DAWN
Last Name:BAKER-BRUSTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 N HIGH DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67152-3233
Mailing Address - Country:US
Mailing Address - Phone:620-326-3369
Mailing Address - Fax:
Practice Address - Street 1:624 N HIGH DR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:KS
Practice Address - Zip Code:67152-3233
Practice Address - Country:US
Practice Address - Phone:620-326-3369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator