Active NPI
Alicia Michelle Cherrybon, LCSW
- Clinical Social Worker
- Tallahassee, FL
National Provider Identifier
1104242171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13357
- Practice address
- 1310 Cross Creek Cir
Suite a
Tallahassee, FL 32301-8062 - Phone
- (850) 877-4228
- Fax
- (888) 700-6760
- NPI assigned
- Mar 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW13357 | FL | Primary |
Addresses
Primary practice location
1310 Cross Creek Cir
Suite a
Tallahassee, FL 32301-8062
Mailing address
1310 Cross Creek Cir
Suite a
Tallahassee, FL 32301-8062
Phone (850) 877-4228
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW13357 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1104242171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 CROSS CREEK CIR",
"address_2": "SUITE A",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323018062",
"telephone_number": "850-877-4228",
"fax_number": "888-700-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 CROSS CREEK CIR",
"address_2": "SUITE A",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323018062",
"telephone_number": "850-877-4228",
"fax_number": "888-700-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRYBON",
"first_name": "ALICIA",
"middle_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-13",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.