Provider Demographics
NPI:1821382540
Name:MOYER, SHERRY ANN (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:ANN
Last Name:MOYER
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 WILLOW PL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5802
Mailing Address - Country:US
Mailing Address - Phone:301-992-4701
Mailing Address - Fax:
Practice Address - Street 1:69 WILLOW PL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5802
Practice Address - Country:US
Practice Address - Phone:301-992-4701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-00106141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical