Provider Demographics
NPI:1023335171
Name:MCCANTS-DAUGHTREY, CHERYL ANN (LCSWR)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANN
Last Name:MCCANTS-DAUGHTREY
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:79 E POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5008
Mailing Address - Country:US
Mailing Address - Phone:914-948-1192
Mailing Address - Fax:914-948-1365
Practice Address - Street 1:140 OLD ORANGEBURG RD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-1157
Practice Address - Country:US
Practice Address - Phone:914-948-1192
Practice Address - Fax:914-948-1365
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR049452-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRO49452-1OtherLICENSE NUMBER