Provider Demographics
NPI:1033872759
Name:FROMULARO, CHERYL ANN (LCSW)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:FROMULARO
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:SPEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:417 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3736
Mailing Address - Country:US
Mailing Address - Phone:413-734-3151
Mailing Address - Fax:413-731-8651
Practice Address - Street 1:417 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3736
Practice Address - Country:US
Practice Address - Phone:413-734-3151
Practice Address - Fax:413-731-8651
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
FLSW241701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor