Provider Demographics
NPI:1134667892
Name:HOMLISH, CHERELYN (LCSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:CHERELYN
Middle Name:
Last Name:HOMLISH
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:MRS
Other - First Name:CHERELYN
Other - Middle Name:
Other - Last Name:STILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, ACSW
Mailing Address - Street 1:807 SPRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1334
Mailing Address - Country:US
Mailing Address - Phone:302-381-4551
Mailing Address - Fax:
Practice Address - Street 1:807 SPRUCE AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1334
Practice Address - Country:US
Practice Address - Phone:302-381-4551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE00003821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical