Provider Demographics
NPI:1912023185
Name:DEL PADRE, CHERYL (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:
Last Name:DEL PADRE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BETSEY WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-2702
Mailing Address - Country:US
Mailing Address - Phone:401-374-0799
Mailing Address - Fax:
Practice Address - Street 1:100 BETSEY WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02905-2702
Practice Address - Country:US
Practice Address - Phone:401-374-0799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW014701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical