Provider Demographics
NPI:1184709032
Name:RAINERI, SHERRY ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:ANN
Last Name:RAINERI
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 1:4198 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2560
Mailing Address - Country:US
Mailing Address - Phone:724-579-3771
Mailing Address - Fax:724-746-3207
Practice Address - Street 1:40 ROBIN DR
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:PA
Practice Address - Zip Code:15340-1501
Practice Address - Country:US
Practice Address - Phone:724-579-3771
Practice Address - Fax:724-746-3207
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0148461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPTAN 034382P3KMedicare PIN
PA0019739960001Medicaid