Provider Demographics
NPI:1467598086
Name:STANCELL, CHERYL DINES (MSW)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:DINES
Last Name:STANCELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7011 MARBURY CT
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-1811
Mailing Address - Country:US
Mailing Address - Phone:301-922-2866
Mailing Address - Fax:301-735-3591
Practice Address - Street 1:719 DIVISION AVENUE NORTH EAST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019
Practice Address - Country:US
Practice Address - Phone:301-922-2866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3014831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC633665OtherNCPPO
DCF127-0015OtherBCBS
DC5878300OtherMAGELLAN
DC7531588OtherAETNA
DC354560OtherMHN
DCG02024Medicare ID - Type Unspecified