Provider Demographics
NPI:1346452216
Name:HUNSBERGER, CHERYL ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANN
Last Name:HUNSBERGER
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 1:3121 MILLER HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1917
Mailing Address - Country:US
Mailing Address - Phone:703-938-6761
Mailing Address - Fax:703-255-1134
Practice Address - Street 1:9518C LEE HWY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2303
Practice Address - Country:US
Practice Address - Phone:703-273-6800
Practice Address - Fax:703-255-1134
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040008321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11233605OtherCAQH PROVIDER #
DCA2460000OtherCAREFIRST PROVIDER #
CA62616637OtherUBH PROVIDER #