Provider Demographics
NPI:1750483996
Name:GABA, SHERRY ANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:ANNE
Last Name:GABA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:ANNE
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2535 TOWNSGATE RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5965
Mailing Address - Country:US
Mailing Address - Phone:818-756-3338
Mailing Address - Fax:
Practice Address - Street 1:2535 TOWNSGATE RD STE 209
Practice Address - Street 2:SUITE 209
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5976
Practice Address - Country:US
Practice Address - Phone:818-756-3338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS217651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical