Active NPI
Sherrin Jean Packer-Rosenthal, LMFT, MSW,ASW, PPSC
- Clinical Social Worker
- Tiburon, CA
National Provider Identifier
1861651861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW82041
- Practice address
- 52 Lower North Ter
Tiburon, CA 94920-2018 - Phone
- (415) 533-6846
- NPI assigned
- Jun 4, 2008
- Last updated
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | CA | ||
| Clinical Social Worker | 1041C0700X | LCSW82041 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 15529 | CA |
Addresses
Primary practice location
52 Lower North Ter
Tiburon, CA 94920-2018
Mailing address
52 Lower North Ter
Tiburon, CA 94920-2018
Phone (415) 533-6846
Other practice location 1
333 University Ave Ste 200
Sacramento, CA 95825-6540
Phone (800) 442-8938
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 |
|---|---|---|---|
| LCSW82041 | CA | MD | Clinical Social Worker |
| 15529 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1861651861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 LOWER NORTH TER",
"city": "TIBURON",
"state": "CA",
"postal_code": "949202018",
"telephone_number": "415-533-6846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 LOWER NORTH TER",
"city": "TIBURON",
"state": "CA",
"postal_code": "949202018",
"telephone_number": "415-533-6846"
}
],
"practiceLocations": [
{
"address_1": "333 University Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958256540",
"country_code": "US",
"telephone_number": "800-442-8938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACKER-ROSENTHAL",
"first_name": "SHERRIN",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LMFT, MSW,ASW, PPSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2021-06-24",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW82041",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "15529",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tiburon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.