Provider Demographics
NPI:1194806042
Name:KRONHAUS, CHERYL (LICSW)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:KRONHAUS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 ASHLEY PL
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-1262
Mailing Address - Country:US
Mailing Address - Phone:978-664-2566
Mailing Address - Fax:
Practice Address - Street 1:324 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-1329
Practice Address - Country:US
Practice Address - Phone:978-664-2566
Practice Address - Fax:978-664-8023
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1020944101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP07404OtherBC/BS FEDERAL
MA1897896Medicaid
MA002862OtherVALUE OPTIONS
MA102094OtherTUFTS HEALTH PLAN
MA043114833-05OtherPACIFICARE BEHAVIORAL HEA
MAP07404OtherBC/BS
MA102094OtherTUFTS BENEFIT ADMINISTRAT
MA1056943OtherCIGNA BEHAVIORAL HEALTH
MAP07404OtherBC/BS