Provider Demographics
NPI:1669878195
Name:BERNDT, SHARI (LMSW)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:BERNDT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:SJOLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2252 CLAYTON ST
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-3064
Mailing Address - Country:US
Mailing Address - Phone:763-742-8215
Mailing Address - Fax:
Practice Address - Street 1:175 EMERY HWY
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-3692
Practice Address - Country:US
Practice Address - Phone:478-803-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker