Individual
MRS. MAUDENE SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19056 GREENBUSH RD, PARKSLEY, VA 23421
(757) 665-1260
(757) 665-4184
Mailing address
PO BOX 453, NASSAWADOX, VA 23413-0453
(757) 665-1260
(757) 665-4184
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0904003024
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945417
—
VA
01
—
135834
VALUE OPTIONS
VA
01
—
251687
UNITED BEHAVIORAL HEALTH
VA
01
—
285310
HEALTHKEEPERS
VA
01
—
394183
ANTHEM
VA
01
—
89386
SENTARA
VA
01
—
C05541
MEDICARE GROUP
VA
Enumeration date
10/13/2006
Last updated
05/15/2008
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