Mark Eden Sherman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001963 Issued in MO

Practice address

4301 NW Wilson Road
BH Unit
Ft Sill, OK 73503-4472

Phone

(580) 558-8283

NPI assigned

Jul 15, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1144484437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 NW OAK AVE # B-11",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054367",
            "telephone_number": "816-200-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NW WILSON ROAD",
            "address_2": "BH UNIT",
            "city": "FT SILL",
            "state": "OK",
            "postal_code": "735034472",
            "telephone_number": "580-558-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MARK",
        "middle_name": "EDEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Denise Seratte, PHARMD
• Eric Matthew Sexton, D.D.S.
• Jonathan Shaffer, DDS
• Susan Ann Shaw, LCSW
• Kathleen Jean Shepard, NP
• Tiffany Simmons, DMD
• Mark Sistoso
• Moniqua Ann Smiley, RDH
• Jamika Alise Smith, RD
• Wilma Jean Smith, RN, COHN-S

• Clinical Social Worker in Ft Sill, OK
• Providers in Ft Sill, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.