Provider Demographics
NPI:1912180167
Name:CHAMBERS, CHERYL L (LCSW)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:LOFLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:550 S DUPONT BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1704
Mailing Address - Country:US
Mailing Address - Phone:302-422-2888
Mailing Address - Fax:302-422-3888
Practice Address - Street 1:550 S DUPONT BLVD STE F
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1704
Practice Address - Country:US
Practice Address - Phone:302-422-2888
Practice Address - Fax:302-422-3888
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
DEQ1-00009261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE250731695Medicaid
DE250726142Medicaid