Provider Demographics
NPI:1659492528
Name:EMALA, CHERYLD (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHERYLD
Middle Name:
Last Name:EMALA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 E MAIDEN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4963
Mailing Address - Country:US
Mailing Address - Phone:724-229-3430
Mailing Address - Fax:
Practice Address - Street 1:75 E MAIDEN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4963
Practice Address - Country:US
Practice Address - Phone:724-229-3430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0168891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical