Provider Demographics
NPI:1194487975
Name:BARCLIFF, CHERIKA M
Entity Type:Individual
Prefix:
First Name:CHERIKA
Middle Name:M
Last Name:BARCLIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ADDISON WAY APT 15-3B
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-9297
Mailing Address - Country:US
Mailing Address - Phone:252-548-1083
Mailing Address - Fax:
Practice Address - Street 1:300 ADDISON WAY APT 15-3B
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-9297
Practice Address - Country:US
Practice Address - Phone:252-548-1083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-09
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator