Sherri Shuman Willis, LMFT, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW004589 Issued in GA

Practice address

1592 Norman Dr
Valdosta, GA 31601-3581

Phone

(229) 316-1854

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1992957229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021743",
            "telephone_number": "229-316-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 NORMAN DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316013581",
            "telephone_number": "229-316-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "SHERRI",
        "middle_name": "SHUMAN",
        "name_prefix": "Mrs.",
        "credential": "LMFT, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT000854",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004381",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW004589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Williams, NP-C
• Emily Caroline Williamson, CCC-SLP
• Charity D, Willis, PHARMD
• Robert Lawrence Willis, LAPC
• Robert Scott Willis, H.I.S.
• Stephen Willis
• Hannah Davis Wills
• Jane Claire Wills, M.ED, CF-SLP
• Amanda Jo Wilson, RBT
• Caitlyn Elizabeth Wilson, OTR/L

• Social Worker in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.