Provider Demographics
NPI:1306944855
Name:HARRINGTON, CHERYL M (LCSW)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:M
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 NE 45TH ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33328
Mailing Address - Country:US
Mailing Address - Phone:954-763-9291
Mailing Address - Fax:954-491-4255
Practice Address - Street 1:1919 NE 45TH ST
Practice Address - Street 2:SUITE 121
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:954-763-9291
Practice Address - Fax:954-491-4255
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW48581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
29780Medicare ID - Type Unspecified