Provider Demographics
NPI:1104436815
Name:SERANO-GRIFFITH, SHERYL A (MSW, CSW)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:A
Last Name:SERANO-GRIFFITH
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2768
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00851-2768
Mailing Address - Country:US
Mailing Address - Phone:352-348-6979
Mailing Address - Fax:
Practice Address - Street 1:5030 ANCHOR WAY STE 9&10
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4692
Practice Address - Country:US
Practice Address - Phone:352-348-6979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1-24120-1B104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker