MEDICARE: CHERYL ROBERTS-SAMSINGH LICSW, LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC09556	MD
2	1041C0700X	Clinical Social Worker	LC302124	DC

General Provider Information

NPI Number	:	1477921575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL ROBERTS-SAMSINGH LICSW, LCSW-C

Provider Business Mailing Address
First Line	:	1330 MCCORMICK DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-5398
Country	:	US
Telephone Number	:	301-772-1200
Fax Number	:	301-772-8442

Provider Business Practice Location Address
First Line	:	4061 POWDER MILL RD
Second Line	:	SUITE 320
City	:	CALVERTON
State	:	MD
Zip	:	20705-3149
Country	:	US
Telephone Number	:	410-940-9243
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2015
Last Update Date	:	09/04/2015

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