Active NPIIndividual provider

Mr. Kenneth L Sherman, LICSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1770671786
Practice location
150 S Huntington Ave, Jamaica Plain, MA 02478-4817
Fax
—
Last updated
November 20, 2012

Kenneth Lyle Sherman is a Social Worker, Clinical based in Jamaica Plain, MA. Kenneth Lyle Sherman practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Kenneth Lyle Sherman is 1770671786 and holds a License No. 115456 (MA). The current practice location address for Kenneth Lyle Sherman is 150 S Huntington Ave, Jamaica Plain, MA 02478-4817 and can be reached out via phone at 857-364-6760.

Provider Profile Details

NPI Number
1770671786
Provider Name
Kenneth Lyle Sherman
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
150 S Huntington Ave, Jamaica Plain, MA 02478-4817
Phone Number
857-364-6760
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 11, 2006
Last Update Date
November 20, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 S Huntington Ave
Jamaica Plain, MA 02478-4817
Zip
02478-4817
Phone Number
857-364-6760
Jamaica Plain, MA 02478Get directions →

Provider Business Mailing Address Details

Address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
City
Jamaica Plain
State
MA
Zip
02130-4817
Phone Number
857-364-6760

License Information

License Number
115456
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kenneth L Sherman, LICSW?

The NPI number of Mr. Kenneth L Sherman, LICSW is 1770671786. It was assigned on October 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Kenneth L Sherman, LICSW?

Mr. Kenneth L Sherman, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115456.

Where does Mr. Kenneth L Sherman, LICSW practice?

The practice location is 150 S Huntington Ave, Jamaica Plain, MA 02478-4817. The office can be reached at 857-364-6760 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770671786 directly on the NPPES registry website.

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