Provider Demographics
NPI:1710367958
Name:ARNETT, SHERI LYNN JUDGE (MSW/LICSW)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:LYNN JUDGE
Last Name:ARNETT
Suffix:
Gender:F
Credentials:MSW/LICSW
Other - Prefix:MS
Other - First Name:SHERI
Other - Middle Name:LYNN
Other - Last Name:JACOBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SW
Mailing Address - Street 1:640 JACKSON ST.
Mailing Address - Street 2:ED CRISIS UNIT - MAIL STOP: 11302B
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-2595
Mailing Address - Country:US
Mailing Address - Phone:651-254-1000
Mailing Address - Fax:651-254-9595
Practice Address - Street 1:640 JACKSON ST.
Practice Address - Street 2:ED CRISIS UNIT - MAIL STOP 11302B
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2595
Practice Address - Country:US
Practice Address - Phone:651-254-1000
Practice Address - Fax:651-254-9595
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN03236OtherMSW/LICSW