Sherie Augustin, LCSW
Individual provider Active NPI Clinical Social Worker · Sparta, NJ
NPI 1508400466 · NPPES record last updated Nov 4, 2019
Key facts
- NPI
- 1508400466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05893700 (NJ)
- Practice address
- 172 Woodport Rd Ste D
Sparta, NJ 07871-2610 - Phone
- (973) 691-3030
- NPI assigned
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05893700 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Behavioral Care, LLC | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05893700 | NJ | Yes |
Addresses
Primary practice location
172 Woodport Rd Ste D
Sparta, NJ 07871-2610
Mailing address
172 Woodport Rd Ste D
Sparta, NJ 07871-2610
Phone (973) 691-3030
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- Mary Jane Aulicino
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- Oksana Arkadievna Badanina
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- Jamie Barlow
All providers in Sparta, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.