Provider Demographics
NPI:1013689322
Name:SHERMAN, KIMBERLY (LCSW LCSW-C, LICSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LCSW LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 MAYORS WAY
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4751
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3780 MAYORS WAY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4751
Practice Address - Country:US
Practice Address - Phone:301-541-7376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0252981041C0700X
MD263541041C0700X
DCLC2000024711041C0700X
VA09040148941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical