Jefferson, Sheryl Denise
Jefferson, Sheryl Denise is an individual health care provider with primary practice located at 8850 Columbia 100 Pkwy 203, Columbia MD 21045-2374. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jefferson, Sheryl Denise can be contacted via phone (443) 546-4476.Contact Information
Primary practice address
8850 Columbia 100 Pkwy 203
Columbia MD 21045-2374
Phone: (443) 546-4476
Fax: (443) 546-4473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 11957 | Maryland |
Profile Details
| NPI number | 1811177488 |
|---|---|
| LBN Legal business name | Jefferson, Sheryl Denise |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2007 |
| Last updated | Jun 11th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811177488 | NPPES |
| Maryland | MEDICAID | 407958200 |
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