TIM SHERRELL (NPI# 1114086238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114086238 |
| Entity Type | Individual |
| Full Name | TIM SHERRELL |
| Credential | LCSW |
| Practice Address |
9667 Highway 29 Suite 200 Lower Lake CA 95457 |
| Mailing Address |
Po Box 1656 Lower Lake CA 95457 |
| Practice Telephone | 7079946726 |
| Practice Fax Number | 7079983120 |
| Mailing Telephone | 7079946726 |
| Mailing Fax Number | 7079983120 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS15755 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CSW157550 | 05 |
| Street Address |
9667 HIGHWAY 29 SUITE 200 |
| City | LOWER LAKE |
| State | CA |
| Zip Code | 95457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861745713 | Elina Filippova | Counselor | 9667 Highway 29, Ste 102, Lower Lake, CA 95457-9400 | 2012-10-16 |
| 1083881619 | Laura Debaun | Marriage & Family Therapist | 9667 Highway 29, Suite 202, Lower Lake, CA 95457-1877 | 2008-05-13 |
| 1245399088 | Adriaan Francois Van Wyk | Marriage & Family Therapist | 9667 Highway 29, Suite 102, Lower Lake, CA 95457 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275813214 | Sydney Adolfo Berro | Marriage & Family Therapist | 16170 Main Street, Lower Lake, CA 95457 | 2011-08-23 |
| 1457503815 | Lake County Office of Education Safe Schools | Local Education Agency (LEA) | 9707 Winchester Street, Lower Lake, CA 95457 | 2008-10-16 |
| 1801063870 | Adventist Health Home Care Services of Redbud | Home Health | 9245 Hwy 53, Lower Lake, CA 95457 | 2008-05-09 |
| 1538386180 | Dennis L. Day | Chiropractor | 16205 Main Street, Lower Lake, CA 95457 | 2007-04-18 |
| 1821134271 | Terra Renne Wilson | Counselor | 9345 Winchester, Lower Lake, CA 95457 | 2007-01-30 |
| 1083729420 | Dorothy L. Moyer | Psychologist | 9667 Hwy 29, Rural Post Office Will Not Deliver, Lower Lake, CA 95457 | 2006-08-19 |
| 1952837544 | Richard Hoffman | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457 | 2017-05-03 |
| 1407181225 | Lake County Community Action Agency | Community/Behavioral Health | 9345 Winchester, Lower Lake, CA 95457 | 2009-10-13 |
| 1841525144 | Lake County Community Action Agency | Community/Behavioral Health | 9345 Winchester, Lower Lake, CA 95457 | 2009-10-05 |
| 1760548572 | Ralph A Fiedler | Chiropractor | 9667 Hwy 29, Ste 101, Lower Lake, CA 95457 | 2006-12-28 |
| Find all providers in zip 95457 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295244 | Keith Aaron Rivera | Social Worker | 605 Sundahl Dr, Folsom, CA 95630-6353 | 2020-11-03 |
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1780284356 | Tyler Young | Social Worker | 73140 Guadalupe Ave, Palm Desert, CA 92260-2858 | 2020-10-31 |
| 1588264220 | Danielle Segal | Social Worker | 10085 Nicolas Dr Unit B, Truckee, CA 96161-1871 | 2020-10-30 |
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1720688906 | Jennifer L Salcido | Social Worker | 2292 Celeste Ave, Clovis, CA 93611-6253 | 2020-10-28 |
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1306445903 | Enerje Wellness Licenced Clinical Social Worker | Social Worker | 7121 Magnolia Ave Ste O, Riverside, CA 92504-3805 | 2020-10-23 |
| 1972102671 | Kimberly Sherman | Social Worker | 1110 Ranleigh Way, Piedmont, CA 94610-1135 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | LOWER LAKE |
| Zip Code | 95457 |
Please comment or provide details below to improve the information on TIM SHERRELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.