Provider Demographics
NPI:1912212770
Name:MAGARAM, SHERRY L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:L
Last Name:MAGARAM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 WYNDHAM PL
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-3122
Mailing Address - Country:US
Mailing Address - Phone:609-336-0182
Mailing Address - Fax:
Practice Address - Street 1:36 WYNDHAM PL
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-3122
Practice Address - Country:US
Practice Address - Phone:609-336-0182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05417600104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker