Provider Demographics
NPI:1427234210
Name:NEVERSON, SHERYL ANN (PHD, LCSW-C, LICSW)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:ANN
Last Name:NEVERSON
Suffix:
Gender:F
Credentials:PHD, LCSW-C, LICSW
Other - Prefix:DR
Other - First Name:SHERYL
Other - Middle Name:ANN
Other - Last Name:NICHOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LCSW-C, LICSW
Mailing Address - Street 1:1300 MERCANTILE LN
Mailing Address - Street 2:SUITE 139 FF
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5327
Mailing Address - Country:US
Mailing Address - Phone:301-341-2020
Mailing Address - Fax:301-341-2233
Practice Address - Street 1:1300 MERCANTILE LN
Practice Address - Street 2:SUITE 139 FF
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5327
Practice Address - Country:US
Practice Address - Phone:301-341-2020
Practice Address - Fax:301-341-2233
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3031561041C0700X
MD099931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical