Provider Demographics
NPI:1457323115
Name:CARTER, CHERYL RYLAND (MSW)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:RYLAND
Last Name:CARTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:L
Other - Last Name:RYLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-S
Mailing Address - Street 1:8001 RAVINES EDGE CT STE 201
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-5423
Mailing Address - Country:US
Mailing Address - Phone:614-896-8222
Mailing Address - Fax:614-896-8223
Practice Address - Street 1:8001 RAVINES EDGE CT STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-5423
Practice Address - Country:US
Practice Address - Phone:614-896-8222
Practice Address - Fax:614-896-8223
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI35971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHR72450Medicare UPIN
OHSW21793Medicare ID - Type Unspecified