Mrs Edith Renee Sherman, LCSW | |
134 County Road 665, Wynne, AR 72396-8402 | |
(870) 238-5681 | |
Not Available |
Full Name | Mrs Edith Renee Sherman |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 134 County Road 665, Wynne, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629249131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2112-M (Arkansas) | Primary |
Entity Name | Changes Behavioral Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114260486 PECOS PAC ID: 6103149653 Enrollment ID: O20150108001118 |
Mailing Address | Practice Location Address |
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Mrs Edith Renee Sherman, LCSW 134 County Road 665, Wynne, AR 72396-8402 Ph: (870) 238-5681 | Mrs Edith Renee Sherman, LCSW 134 County Road 665, Wynne, AR 72396-8402 Ph: (870) 238-5681 |
Rylee Ratton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-587-0576 | |
Brian D. Shaw, CM Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-208-8044 | |
William Blake Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-208-8044 |