Provider Demographics
NPI:1710145503
Name:SHERWOOD, CARISA SALAZAR (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CARISA
Middle Name:SALAZAR
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 AUBURN BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-2124
Mailing Address - Country:US
Mailing Address - Phone:916-798-5468
Mailing Address - Fax:916-514-1621
Practice Address - Street 1:3820 AUBURN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2124
Practice Address - Country:US
Practice Address - Phone:916-798-5468
Practice Address - Fax:916-514-1621
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CAMFCC48768106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health