Provider Demographics
NPI:1871792283
Name:DOCKINS-PRITCHETT, SHERRY LYNN (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:LYNN
Last Name:DOCKINS-PRITCHETT
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:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-0132
Mailing Address - Country:US
Mailing Address - Phone:731-642-3600
Mailing Address - Fax:731-642-6037
Practice Address - Street 1:2920 HIGHWAY 641 N
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-8832
Practice Address - Country:US
Practice Address - Phone:731-642-3600
Practice Address - Fax:731-642-6037
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1508502Medicaid
TN39224262OtherMEDICARE GROUP
TN1427093798OtherGROUP NPI
TN1508500OtherGROUP MEDICAID
TN39224261Medicare PIN