Provider Demographics
NPI:1699745778
Name:PATON, SHERIE LEE (LCSW/UTAH ACSW/CA)
Entity type:Individual
Prefix:MS
First Name:SHERIE
Middle Name:LEE
Last Name:PATON
Suffix:
Gender:F
Credentials:LCSW/UTAH ACSW/CA
Other - Prefix:MS
Other - First Name:SHERIE
Other - Middle Name:LEE
Other - Last Name:PATON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, ACSW
Mailing Address - Street 1:199 POSADA DEL SOL
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-6361
Mailing Address - Country:US
Mailing Address - Phone:415-590-0057
Mailing Address - Fax:
Practice Address - Street 1:1563 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2543
Practice Address - Country:US
Practice Address - Phone:415-762-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARI-PI207110921101YA0400X
UT34287935011041C0700X
CA77062101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT94293834884121A245OtherCHAMPUS
UT885127OtherDESERET MUTUAL
UT107035226101OtherINTRMTN. HEALTH CARE
UTQ39671OtherMEDICARE ADVANTAGE PLANS
UT942938348SLPOtherEDUCATORS MUTUAL
UT003104022OtherRAILROAD MEDICARE
UT942938348SLPOtherEDUCATORS MUTUAL
UTQ39671OtherMEDICARE ADVANTAGE PLANS