Active NPI
Cheree Nichole Van Eyck
- Clinical Social Worker
- Redding, CA
National Provider Identifier
1154027001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 97368
- Practice address
- 1441 Liberty St
Redding, CA 96001-0811 - Phone
- (530) 224-2700
- Fax
- (530) 224-2738
- NPI assigned
- Feb 2, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 97368 | CA | Primary |
Addresses
Primary practice location
1441 Liberty St
Redding, CA 96001-0811
Mailing address
3862 Country Estates Dr
Cottonwood, CA 96022-9573
Phone (530) 356-0165
Other names 1
- Cheree Nichole Smith
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97368 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1154027001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3862 COUNTRY ESTATES DR",
"city": "COTTONWOOD",
"state": "CA",
"postal_code": "960229573",
"telephone_number": "530-356-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 LIBERTY ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960010811",
"telephone_number": "530-224-2700",
"fax_number": "530-224-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN EYCK",
"first_name": "CHEREE",
"middle_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-02",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "97368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHEREE",
"last_name": "SMITH",
"middle_name": "NICHOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.