Active NPI
Sheryn Waterman, PH.D.
- Professional Counselor
- Pawley's Island, SC
National Provider Identifier
1861932709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5414
- Practice address
- 153 Beaufain CT
Pawleys Island, SC 29585-6168 - Phone
- (919) 943-2222
- NPI assigned
- Feb 25, 2017
- Last updated
- Feb 25, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5414 | SC | Primary |
Addresses
Primary practice location
153 Beaufain CT
Pawleys Island, SC 29585-6168
Mailing address
153 Beaufain CT
Pawleys Island, SC 29585-6168
Phone (919) 943-2222
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5414 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487980800000",
"number": "1861932709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 BEAUFAIN CT",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295856168",
"telephone_number": "919-943-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 BEAUFAIN CT",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295856168",
"telephone_number": "919-943-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERMAN",
"first_name": "SHERYN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-25",
"last_updated": "2017-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawley's Island, SC
- Susan Walden-Cohn, M.D.
- Lewis Darwin Waldrep, RPH
- Walgreen Co (Walgreens #07956)
- Stephen Warren, LMT
- Diedrich Collins Waterman, MD
- Katelyn Weyand, PHARMD
- April Nicole Wheeler, COTA/L
- Emma Wheeler, SSP, NCSP, LPES
- Donald Robert Williams, DR OF CHIROPRACTIC
- Willow Oak Counseling and Behavioral Services, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.