Provider Demographics
NPI:1285828244
Name:TRUAX, SHERI (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:
Last Name:TRUAX
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 1:529 WARRICK RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7232
Mailing Address - Country:US
Mailing Address - Phone:757-408-7210
Mailing Address - Fax:
Practice Address - Street 1:524 ALBEMARLE DR STE 201
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5500
Practice Address - Country:US
Practice Address - Phone:757-408-7210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC140851041C0700X
RIISW021761041C0700X
VA09040066221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA344658OtherANTHEM
VA0803442MOtherSENTARA MENTAL HEALTH