Jacqueline Christine Cherry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073154 Issued in NY

Practice address

1171 Washington Ave
Bronx, NY 10456-4346

Phone

(347) 271-8257

NPI assigned

Dec 6, 2010

Last updated

Dec 6, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 26, 2021 through May 26, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visionary Expressions

  • Clinical Social Worker
  • Bronx, NY
  • NPI 1922300748
  NPD (past) Authorized official

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1285937706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NICOLE WAY",
            "address_2": "CITY",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776810",
            "telephone_number": "877-398-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 WASHINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564346",
            "telephone_number": "347-271-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "JACQUELINE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikhail Chernov, M.D.
• Victoria Chernyak, MD
• Amanda Chernyavsky
• Sarah Ann Cherof, CNM
• Ashley Nicole Cherry, LMSW
• Andrew Elan Chertoff, M.D.
• Ajay B Cherukuri
• Anjali Cherukuri
• Elizabeth Chery, LCSW
• Michele Chery

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.