Tim Sherrell is a Clinical in Lower Lake, California. Tim Sherrell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tim Sherrell is 1114086238. The last update date is 2010-06-07.
Tim Sherrell's current location address is Po Box 1656, Lower Lake, California. You can contact this provider via phone number 7079946726 and fax number 7079983120. The mailing address for Tim Sherrell is Po Box 1656, Lower Lake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim Sherrell |
|---|---|
| Address | Po Box 1656, Lower Lake, California |
| Phone Number | 7079946726 |
| Fax Number | 7079983120 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1114086238 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2010-06-07 |
Provider Mailing Address Detail
| Address | Po Box 1656 |
|---|---|
| City | Lower Lake |
| State | California (CA) |
| Post Code | 95457 |
| Phone Number | 7079946726 |
| Fax Number | 7079983120 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS15755 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CSW157550 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tim Sherrell by the Centers for Medicare & Medicaid Services?
The Tim Sherrell has been assigned the NPI (National Provider Identifier) 1114086238 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Tim Sherrell?
The Tim Sherrell is physically situated at Po Box 1656, in the city of Lower Lake, state of CA, with the postal code 95457.
What is Tim Sherrell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tim Sherrell's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114086238 to Tim Sherrell?
The Centers for Medicare & Medicaid Services assigned the 1114086238 to Tim Sherrell on 2006-12-06.
When was the information regarding Tim Sherrell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tim Sherrell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-06-07.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY