Provider Demographics
NPI:1790034494
Name:CHERUBINO, SCOTT GERARD (LCSW-A)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:GERARD
Last Name:CHERUBINO
Suffix:
Gender:M
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 THOMAS HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-9799
Mailing Address - Country:US
Mailing Address - Phone:828-524-9385
Mailing Address - Fax:
Practice Address - Street 1:100 THOMAS HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-9799
Practice Address - Country:US
Practice Address - Phone:828-524-9385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0064661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical