Cheryl N Moffatt, LCPC
Individual provider Active NPI Professional Counselor · Riva, MD
NPI 1871831776 · NPPES record last updated Nov 20, 2015
Key facts
- NPI
- 1871831776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC6053 (MD)
- Practice address
- 350 Derbyshire Lane
Riva, MD 21140 - Phone
- (410) 562-0327
- NPI assigned
- Jan 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6053 | MD | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC6053 | MD | Yes |
Addresses
Primary practice location
350 Derbyshire Lane
Riva, MD 21140
Mailing address
350 Derbyshire LN
Riva, MD 21140-1511
Phone (410) 562-0327
Other providers in Riva, MD
- Cynthia Louise Bartlett
- First Choice Home Health, LLC
- Michael Gombatz
- Margaret Lynn Everhard Crna
- Karen Louise McMahon
- Natasha Montgomery
- Project Chesapeake, LLC
- Ludia Sarmast Sarmast
- Severn Psychological and Education Services Inc
- Gracleyn Maris Solarz
All providers in Riva, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.