| Carol Sherwood | |
|
1417 Nw 54th St Ste 208 Seattle WA 98107-3572 | |
| (206) 446-2175 | |
| Not Available |
| Full Name | Carol Sherwood |
|---|---|
| Speciality | Social Worker |
| Location | 1417 Nw 54th St Ste 208, Seattle, Washington |
| Authorized Official Name and Position | Carol Sherwood (OWNER) |
| Authorized Official Contact | 2064462175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Sherwood 1207 Ne 69th St Seattle WA 98115-6747 Ph: (206) 446-2175 | Carol Sherwood 1417 Nw 54th St Ste 208 Seattle WA 98107-3572 Ph: (206) 446-2175 |
| NPI Number | 1124643853 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Medicare PECOS PAC ID | 0042632655 |
|---|---|
| Medicare Enrollment ID | O20200626000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124643853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carol J Sherwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053543264 PECOS PAC ID: 9830450469 Enrollment ID: I20180222002305 |
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