Provider Demographics
NPI:1386880649
Name:NEGRIN, SHERYL DEBORAH (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:DEBORAH
Last Name:NEGRIN
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 1:6363 CHRISTIE AVE
Mailing Address - Street 2:SUITE 914
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1914
Mailing Address - Country:US
Mailing Address - Phone:510-912-9558
Mailing Address - Fax:
Practice Address - Street 1:6363 CHRISTIE AVE
Practice Address - Street 2:SUITE 914
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-1914
Practice Address - Country:US
Practice Address - Phone:510-912-9558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical