Healthcare Provider Details

I. General information

NPI: 1710342811
Provider Name (Legal Business Name): CHERYL HOWARD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2015
Last Update Date: 12/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8370 FOREST OAKS BLVD
SPRING HILL FL
34606-6844
US

IV. Provider business mailing address

16527 HILL N DL
HUDSON FL
34667-4332
US

V. Phone/Fax

Practice location:
  • Phone: 727-869-3951
  • Fax: 727-869-3951
Mailing address:
  • Phone: 727-869-3951
  • Fax: 727-869-3951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW13282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: