Depetro, Cheryl A

Depetro, Cheryl A is an sole proprietor health care provider with primary practice located at 606 Edmondson Ave Suite #201, Catonsville MD 21228-3315. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Depetro, Cheryl A can be contacted via phone (410) 747-9743.

Contact Information

Primary practice address
606 Edmondson Ave Suite #201 Catonsville MD 21228-3315
Phone: (410) 747-9743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X U01507 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 09177 Maryland

Profile Details

NPI number 1023191418
LBN Legal business name Depetro, Cheryl A
Credentials MSW,LCSW-C, DAC, LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Aug 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023191418 NPPES
Maryland MEDICAID 149702200
Maryland Other 228677
Maryland Other QF72
Maryland Other 204657996
Maryland Other 204657996
Maryland Other 232401
Maryland Other 543427000
Maryland Other 6527

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