Provider Demographics
NPI:1073988150
Name:TORRES, CHERYL I (LSW)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:I
Last Name:TORRES
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 N 5TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2602
Mailing Address - Country:US
Mailing Address - Phone:570-424-5100
Mailing Address - Fax:
Practice Address - Street 1:1300 N 5TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2602
Practice Address - Country:US
Practice Address - Phone:570-424-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131435104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker