Provider Demographics
NPI:1881584977
Name:BENSON, SHERRELL
Entity type:Individual
Prefix:
First Name:SHERRELL
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14055 VISTA DR APT 148A
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-6826
Mailing Address - Country:US
Mailing Address - Phone:240-316-5689
Mailing Address - Fax:
Practice Address - Street 1:1516 KENILWORTH AVE NE APT 317
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-2081
Practice Address - Country:US
Practice Address - Phone:202-494-3427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant