Provider Demographics
NPI:1881424927
Name:SHERRILL, MANDY (MSW, ASW)
Entity type:Individual
Prefix:
First Name:MANDY
Middle Name:
Last Name:SHERRILL
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:MANDY
Other - Middle Name:
Other - Last Name:TERRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5713 BRAZILWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-2027
Mailing Address - Country:US
Mailing Address - Phone:412-735-2560
Mailing Address - Fax:
Practice Address - Street 1:5713 BRAZILWOOD CT
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-2027
Practice Address - Country:US
Practice Address - Phone:412-735-2560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW122506101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health