Provider Demographics
NPI:1952376253
Name:SHERMAN, LISA B (LCSW)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:B
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3191 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3223
Mailing Address - Country:US
Mailing Address - Phone:305-442-3394
Mailing Address - Fax:305-442-3395
Practice Address - Street 1:3191 CORAL WAY
Practice Address - Street 2:SUITE 632
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-3213
Practice Address - Country:US
Practice Address - Phone:305-442-3394
Practice Address - Fax:305-442-3395
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW31411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6367Medicare ID - Type Unspecified