Provider Demographics
NPI:1336948868
Name:DEW, SHERRY BOLD (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:BOLD
Last Name:DEW
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30365 SUMMERSIDE ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-6807
Mailing Address - Country:US
Mailing Address - Phone:321-626-1630
Mailing Address - Fax:
Practice Address - Street 1:30365 SUMMERSIDE ST
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-6807
Practice Address - Country:US
Practice Address - Phone:321-626-1630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW951591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical