Provider Demographics
NPI:1083846356
Name:GAUDET, SHERRIE (LCSW, LADC)
Entity type:Individual
Prefix:
First Name:SHERRIE
Middle Name:
Last Name:GAUDET
Suffix:
Gender:
Credentials:LCSW, LADC
Other - Prefix:
Other - First Name:SHERRIE
Other - Middle Name:
Other - Last Name:BREAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:240 MOUNT PARNASSUS RD
Mailing Address - Street 2:
Mailing Address - City:EAST HADDAM
Mailing Address - State:CT
Mailing Address - Zip Code:06423-1526
Mailing Address - Country:US
Mailing Address - Phone:508-498-3744
Mailing Address - Fax:
Practice Address - Street 1:240 MOUNT PARNASSUS RD
Practice Address - Street 2:
Practice Address - City:EAST HADDAM
Practice Address - State:CT
Practice Address - Zip Code:06423-1526
Practice Address - Country:US
Practice Address - Phone:508-498-3744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-19
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1069101YA0400X
CT137171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)