Provider Demographics
NPI:1972869394
Name:SHERMAN & ASSOCIATES SERVICES OF STANDARD
Entity type:Organization
Organization Name:SHERMAN & ASSOCIATES SERVICES OF STANDARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERIE
Authorized Official - Middle Name:ILENE
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW,LCSW-C
Authorized Official - Phone:443-529-5417
Mailing Address - Street 1:4401 MARBLE HALL RD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-1523
Mailing Address - Country:US
Mailing Address - Phone:443-529-5417
Mailing Address - Fax:
Practice Address - Street 1:4401 MARBLE HALL RD
Practice Address - Street 2:SUITE #200
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-1523
Practice Address - Country:US
Practice Address - Phone:443-529-5417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder