Provider Demographics
NPI:1194077651
Name:MAKEEVER, SHERRYL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHERRYL
Middle Name:
Last Name:MAKEEVER
Suffix:
Gender:F
Credentials:LCSW
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 54723
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32245-4723
Mailing Address - Country:US
Mailing Address - Phone:904-239-3677
Mailing Address - Fax:904-239-3278
Practice Address - Street 1:6950 PHILIPS HWY
Practice Address - Street 2:SUITE11
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6074
Practice Address - Country:US
Practice Address - Phone:904-239-3677
Practice Address - Fax:804-866-4029
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW22401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical