Provider Demographics
NPI:1316013642
Name:BILLINGS, CHERYL HEATHERLY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:HEATHERLY
Last Name:BILLINGS
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 1:917 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3958
Mailing Address - Country:US
Mailing Address - Phone:704-476-4114
Mailing Address - Fax:704-669-2017
Practice Address - Street 1:917 1ST ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3958
Practice Address - Country:US
Practice Address - Phone:704-476-4114
Practice Address - Fax:704-669-2017
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0008691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106221Medicaid
NC6106221Medicaid