Provider Demographics
NPI:1841719523
Name:RIVERS, CHERYL J (LSW)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:J
Last Name:RIVERS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6160 STUMPH RD.
Mailing Address - Street 2:APT. 211
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-1892
Mailing Address - Country:US
Mailing Address - Phone:585-456-9064
Mailing Address - Fax:
Practice Address - Street 1:3500 CARNEGIE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2641
Practice Address - Country:US
Practice Address - Phone:440-260-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-14
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1201288104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker