Provider Demographics
NPI:1669539037
Name:SIMS MAWUSI, SHERIE REGINA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHERIE
Middle Name:REGINA
Last Name:SIMS MAWUSI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 COMMANDER SHEPARD BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1598
Mailing Address - Country:US
Mailing Address - Phone:757-244-3500
Mailing Address - Fax:757-244-1103
Practice Address - Street 1:3221 COMMANDER SHEPARD BLVD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1598
Practice Address - Country:US
Practice Address - Phone:757-244-3500
Practice Address - Fax:757-244-1103
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040049041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical