Individual
SHERMAN SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
2001 CLAFLIN RD, MANHATTAN, KS 66502-3415
(785) 587-4300
(785) 587-4321
Mailing address
423 HOUSTON STREET, MANHATTAN, KS 66505-0747
(785) 587-4346
(785) 587-4377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0734
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011292
BCBS
KS
01
—
11654648
CAQH
—
05
—
200438170A
—
KS
Enumeration date
06/14/2006
Last updated
04/22/2008
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