Provider Demographics
NPI:1770152316
Name:ATKINSON, SHERIE (CASE MANAGER)
Entity type:Individual
Prefix:
First Name:SHERIE
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:662 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-5014
Mailing Address - Country:US
Mailing Address - Phone:609-668-8707
Mailing Address - Fax:
Practice Address - Street 1:4218 ASHLEY CT
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08110-2138
Practice Address - Country:US
Practice Address - Phone:336-693-6149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator