Provider Demographics
NPI:1154809473
Name:SHERWOOD, ELAINE L (LICSW)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:L
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 ROLLING ACRES RD
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1549
Mailing Address - Country:US
Mailing Address - Phone:978-602-6636
Mailing Address - Fax:
Practice Address - Street 1:370 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:MA
Practice Address - Zip Code:01474-1052
Practice Address - Country:US
Practice Address - Phone:508-887-1843
Practice Address - Fax:888-494-0331
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-30
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1137201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical