Provider Demographics
NPI:1093320749
Name:CULLIGAN, CHERISH LEE (LCSW)
Entity type:Individual
Prefix:
First Name:CHERISH
Middle Name:LEE
Last Name:CULLIGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHERISH
Other - Middle Name:LEE
Other - Last Name:DELLATORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2100 MACK BLVD FL 4
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5622
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0628
Practice Address - Street 1:1628 CHEW ST FL 3
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3649
Practice Address - Country:US
Practice Address - Phone:109-692-3196
Practice Address - Fax:610-969-4332
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0205501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty