Provider Demographics
NPI:1770467524
Name:SHERWOOD, LAURA ELISSA (LCSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELISSA
Last Name:SHERWOOD
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 1:8140 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-3136
Mailing Address - Country:US
Mailing Address - Phone:831-345-4992
Mailing Address - Fax:
Practice Address - Street 1:5340 SKYLANE BLVD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-8246
Practice Address - Country:US
Practice Address - Phone:707-524-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA736111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical