Provider Demographics
NPI:1801859335
Name:BALDWIN, CHERYL ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANN
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 CAUGHEY RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-4096
Mailing Address - Country:US
Mailing Address - Phone:814-833-4778
Mailing Address - Fax:814-833-4778
Practice Address - Street 1:3910 CAUGHEY RD
Practice Address - Street 2:SUITE 110
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-4096
Practice Address - Country:US
Practice Address - Phone:814-833-4778
Practice Address - Fax:814-833-4778
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014654101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor