Active NPI
Jennifer Brooke Sherwin, LCPC
- Professional Counselor
- Frederick, MD
National Provider Identifier
1649467408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2566
- Practice address
- 15 Wormans Mill CT
Frederick, MD 21701-3019 - Phone
- (321) 243-2760
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2566 | MD | Primary |
Addresses
Primary practice location
15 Wormans Mill CT
Frederick, MD 21701-3019
Mailing address
15 Wormans Mill CT
Frederick, MD 21701-3019
Phone (321) 243-2760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LC2566 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2566 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1649467408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WORMANS MILL CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217013019",
"telephone_number": "321-243-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 WORMANS MILL CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217013019",
"telephone_number": "321-243-2760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWIN",
"first_name": "JENNIFER",
"middle_name": "BROOKE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LC2566",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.