Provider Demographics
NPI:1285961748
Name:WAMSLEY-GOLDSMITH, SHERYL STEPHANIE (LCSW)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:STEPHANIE
Last Name:WAMSLEY-GOLDSMITH
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 1:5581 SPA DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-2022
Mailing Address - Country:US
Mailing Address - Phone:714-898-8656
Mailing Address - Fax:
Practice Address - Street 1:408 WESTMINSTER AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4238
Practice Address - Country:US
Practice Address - Phone:949-244-2982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS207181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical