Provider Demographics
NPI:1881828051
Name:SHERMAN, ROBERT PIERCE IV
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:PIERCE
Last Name:SHERMAN
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 HARBORVIEW DRIVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-2124
Mailing Address - Country:US
Mailing Address - Phone:208-818-2290
Mailing Address - Fax:
Practice Address - Street 1:3100 HARBORVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-2124
Practice Address - Country:US
Practice Address - Phone:208-818-2290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW 25-9091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical