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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

NPI Number 1376906487
LBN Legal business name GLENN SHERWOOD
Authorized official GLENN SHERWOOD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/05/2016
Last updated 04/18/2016 - About 10 years ago
Identifiers
KS License # 003
KS License # 4118
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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