MEDICARE: MS. CHERYL M HARRINGTON LCSW

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	SW4858	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306944855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERYL M HARRINGTON LCSW

Provider Business Mailing Address
First Line	:	1919 NE 45TH ST
Second Line	:	SUITE 121
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33328
Country	:	US
Telephone Number	:	954-763-9291
Fax Number	:	954-491-4255

Provider Business Practice Location Address
First Line	:	1919 NE 45TH ST
Second Line	:	SUITE 121
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33328
Country	:	US
Telephone Number	:	954-763-9291
Fax Number	:	954-491-4255

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/24/2010

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