Provider Demographics
NPI:1770825424
Name:DUNICAN-HEIN, CHERYL C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:C
Last Name:DUNICAN-HEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CHERYL
Other - Middle Name:C
Other - Last Name:DUNICAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:6338 ROGERS AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-2379
Mailing Address - Country:US
Mailing Address - Phone:856-673-8150
Mailing Address - Fax:
Practice Address - Street 1:19 N CENTRE ST
Practice Address - Street 2:
Practice Address - City:MERCHANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08109-2518
Practice Address - Country:US
Practice Address - Phone:856-673-8150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00489200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker