Provider Demographics
NPI:1417292202
Name:SCHENCK, CHERYL E (MA)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:E
Last Name:SCHENCK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 S WEST ST STE 202
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2851
Mailing Address - Country:US
Mailing Address - Phone:703-650-9923
Mailing Address - Fax:
Practice Address - Street 1:113 S WEST ST STE 202
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2851
Practice Address - Country:US
Practice Address - Phone:703-307-8561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14652101YP2500X
VA0701006448101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional