Provider Demographics
NPI:1841473436
Name:DUFFY-WILLIAMS, CHERYL ANN (LCSW-C)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:DUFFY-WILLIAMS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8108 SUNRISE LN
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6480
Mailing Address - Country:US
Mailing Address - Phone:443-374-7428
Mailing Address - Fax:
Practice Address - Street 1:8108 SUNRISE LN
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6480
Practice Address - Country:US
Practice Address - Phone:443-374-7428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD115661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD012981000Medicaid