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Contact Information

GLENN SHERWOOD
425 N BALTIMORE AVE STE 1
DERBY, KS67037-1625
 Phone: 316-866-2882
 Fax: 316-866-2811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for GLENN SHERWOOD · (Female)

NPI Number 1376906487
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2016
Last updated 04/18/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 003
  • KS License # 4118
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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