Provider Demographics
NPI:1982751442
Name:ANGSTADT, SHERI (MSW)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:ANGSTADT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4454 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-9624
Mailing Address - Country:US
Mailing Address - Phone:610-759-2449
Mailing Address - Fax:
Practice Address - Street 1:4454 MEADOW DR
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-9624
Practice Address - Country:US
Practice Address - Phone:610-759-2449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001339001041C0700X
NJ37FI00065300106H00000X
PAMF000321106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical