Provider Demographics
NPI:1801042023
Name:WOODS, CHERYL (LCSW, CASAC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CIRCLE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1007
Mailing Address - Country:US
Mailing Address - Phone:585-410-7803
Mailing Address - Fax:
Practice Address - Street 1:25 CIRCLE ST STE 201
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1007
Practice Address - Country:US
Practice Address - Phone:585-410-7803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075998101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health