Provider Demographics
NPI:1487622254
Name:GOODMAN-RITCHIE, SHERRI (MSW,LCSW)
Entity type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:
Last Name:GOODMAN-RITCHIE
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 N MASON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6366
Mailing Address - Country:US
Mailing Address - Phone:314-985-8035
Mailing Address - Fax:314-985-8034
Practice Address - Street 1:1040 N MASON RD STE 201
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6366
Practice Address - Country:US
Practice Address - Phone:314-985-8034
Practice Address - Fax:314-985-8034
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0016971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO496955824Medicaid