Provider Demographics
NPI:1942901301
Name:LO, SHERYL (LMSW)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:LO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 ROLLING OAK DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-5715
Mailing Address - Country:US
Mailing Address - Phone:281-781-3385
Mailing Address - Fax:
Practice Address - Street 1:154 ROLLING OAK DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-5715
Practice Address - Country:US
Practice Address - Phone:281-781-3385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67281104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker