Provider Demographics
NPI:1972879039
Name:PERLSTEIN, SHERRY (MSW)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:PERLSTEIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 GREYROCK PL
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-2006
Mailing Address - Country:US
Mailing Address - Phone:203-517-3319
Mailing Address - Fax:203-353-1524
Practice Address - Street 1:196 GREYROCK PL
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-2006
Practice Address - Country:US
Practice Address - Phone:203-517-3319
Practice Address - Fax:203-353-1524
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0018051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical