Provider Demographics
NPI:1760475719
Name:SHERMAN, PATRICIA (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 N WASHINGTON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3133
Mailing Address - Country:US
Mailing Address - Phone:908-876-4754
Mailing Address - Fax:
Practice Address - Street 1:11 N WASHINGTON VALLEY RD
Practice Address - Street 2:
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-3133
Practice Address - Country:US
Practice Address - Phone:908-876-4754
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000797001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical