Provider Demographics
NPI:1114247137
Name:BABB, CHERYL JOY (LCSW)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:JOY
Last Name:BABB
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 1:9824 SVL BOX
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-5143
Mailing Address - Country:US
Mailing Address - Phone:760-475-9960
Mailing Address - Fax:760-292-2007
Practice Address - Street 1:18409 HWY 18
Practice Address - Street 2:#2
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307
Practice Address - Country:US
Practice Address - Phone:760-475-9960
Practice Address - Fax:760-292-2007
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 273831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical