Provider Demographics
NPI:1821377425
Name:PAYNE-SISNEY, SHERRY (MSW, LBSW)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:PAYNE-SISNEY
Suffix:
Gender:F
Credentials:MSW, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 E 680TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:KS
Mailing Address - Zip Code:66711-4161
Mailing Address - Country:US
Mailing Address - Phone:620-347-8618
Mailing Address - Fax:
Practice Address - Street 1:102 S JUDSON ST
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-3241
Practice Address - Country:US
Practice Address - Phone:620-768-0142
Practice Address - Fax:620-768-0179
Is Sole Proprietor?:No
Enumeration Date:2011-08-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7642104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker