Provider Demographics
NPI:1063834596
Name:KATZ, SHERMA ANNICE (MSW)
Entity type:Individual
Prefix:
First Name:SHERMA
Middle Name:ANNICE
Last Name:KATZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 BOWDEN RD STE 205
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6104
Mailing Address - Country:US
Mailing Address - Phone:904-551-0760
Mailing Address - Fax:904-745-3793
Practice Address - Street 1:5730 BOWDEN RD STE 205
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6104
Practice Address - Country:US
Practice Address - Phone:904-551-0760
Practice Address - Fax:904-745-3793
Is Sole Proprietor?:No
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker