Provider Demographics
NPI:1396280970
Name:CLARKE, SHERRY ANN M (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHERRY ANN
Middle Name:M
Last Name:CLARKE
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:1545 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-1122
Mailing Address - Country:US
Mailing Address - Phone:718-613-7259
Mailing Address - Fax:718-613-4381
Practice Address - Street 1:1623 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1209
Practice Address - Country:US
Practice Address - Phone:929-273-7601
Practice Address - Fax:718-307-6871
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY094025-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical