Sherry L. Homan, LCSW

Individual provider Active NPI Clinical Social Worker · Walton, NY

NPI 1902991409 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902991409
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
071129-1 (NY)
Practice address
1 Hospital Rd.
Walton, NY 13856
Phone
(607) 865-6522
Fax
(607) 865-7424
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
071129-1NYMDClinical Social Worker
071129NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071129-1 NY Yes

Addresses

Primary practice location

1 Hospital Rd.
Walton, NY 13856

Mailing address

186 Old Plank Rd.
Deposit, NY 13754
Phone (607) 467-2926

Other providers in Walton, NY

All providers in Walton, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.