Provider Demographics
NPI:1861715492
Name:GARRETT, SHERRY LEA (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:LEA
Last Name:GARRETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SHERRY
Other - Middle Name:LYNN
Other - Last Name:GARRETT-GALVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 ROYAL LANE
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801
Mailing Address - Country:US
Mailing Address - Phone:830-278-8144
Mailing Address - Fax:
Practice Address - Street 1:100 ROYAL LN
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4838
Practice Address - Country:US
Practice Address - Phone:830-278-8144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX035671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical