Provider Demographics
NPI:1588901540
Name:BECKER, SHERRY M (LCSW, RPT)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:M
Last Name:BECKER
Suffix:
Gender:F
Credentials:LCSW, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 W ARBORIA DR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-0119
Mailing Address - Country:US
Mailing Address - Phone:910-233-5339
Mailing Address - Fax:
Practice Address - Street 1:14980 US HIGHWAY 17 STE 201
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3390
Practice Address - Country:US
Practice Address - Phone:910-233-5339
Practice Address - Fax:910-623-9011
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0063401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical