Provider Demographics
NPI:1932610466
Name:RAWISZER, SHERRY ANN (LCSW)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:ANN
Last Name:RAWISZER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 E PALMETTO PARK RD STE 206
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5081
Mailing Address - Country:US
Mailing Address - Phone:561-596-9957
Mailing Address - Fax:
Practice Address - Street 1:499 E PALMETTO PARK RD STE 206
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5081
Practice Address - Country:US
Practice Address - Phone:561-596-9957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW122181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical