Provider Demographics
NPI:1700908860
Name:VINSUN, SHERYL NUCCIO (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:NUCCIO
Last Name:VINSUN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:32 BLUE JAY DR
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3507
Mailing Address - Country:US
Mailing Address - Phone:508-775-6989
Mailing Address - Fax:
Practice Address - Street 1:20 FORSYTHE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1814
Practice Address - Country:US
Practice Address - Phone:508-398-5155
Practice Address - Fax:508-398-3478
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2030652101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)