Individual provider Active NPI

Sherrin Jean Packer-Rosenthal, LMFT, MSW,ASW, PPSC

  • Clinical Social Worker
  • Tiburon, CA
National Provider Identifier
1861651861
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW82041 Issued in CA
Practice address
52 Lower North Ter
Tiburon, CA 94920-2018
Phone
(415) 533-6846
NPI assigned
Jun 4, 2008
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCSW82041CAMDClinical Social Worker
15529CAMDInternal 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.

Verify at the official NPI Registry.