Individual provider Active NPI

Cheryl Lynn Loddo, LCSW LCADC

  • Clinical Social Worker
  • Vineland, NJ
National Provider Identifier
1932610409
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05747100 Issued in NJ
Practice address
629 E Wood St Ste 305
Vineland, NJ 08360-3731
Phone
(856) 462-0585
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00229700 NJ
Clinical Social Worker 1041C0700X 44SC05747100 NJ Primary

Addresses

Primary practice location

629 E Wood St Ste 305
Vineland, NJ 08360-3731

Mailing address

300 Columbine Ave
Millville, NJ 08332-4069
Phone (609) 408-9102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00229700NJMDAddiction (Substance Use Disorder) Counselor
44SC05747100NJMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1932610409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLUMBINE AVE",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083324069",
            "telephone_number": "609-408-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E WOOD ST STE 305",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603731",
            "telephone_number": "856-462-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODDO",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "LCSW LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00229700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05747100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.