Cheyenne E Monroe-Backus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4826 Issued in HI

Practice address

30 Nightingale Rd BLDG 5513
Edwards, CA 93524-1022

Phone

(661) 277-5291

Fax

(661) 277-6327

NPI assigned

Sep 24, 2018

Last updated

Sep 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1194209296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SCHLEY AVE APT 6C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652713",
            "telephone_number": "347-818-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NIGHTINGALE RD BLDG 5513",
            "city": "EDWARDS",
            "state": "CA",
            "postal_code": "935241022",
            "telephone_number": "661-277-5291",
            "fax_number": "661-277-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE-BACKUS",
        "first_name": "CHEYENNE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "104564",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "35052",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "104564",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyann Hanes
• Shelina Hardwick-Moses, LPN
• Pang Ko, D.M.D.
• Phillip Lopiccolo, D.D.S.
• Franklin Miranda, IDMT
• David George Morrison Jr., PA-C
• Tracy Adell Neal-Walden, PH.D.
• Rebecca Michelle Orr, PHARMD
• Austin Puente, IDMT
• Carolina Ramirez, M.S., CCC-SLP

• Clinical Social Worker in Edwards, CA
• Providers in Edwards, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.