Cherri Booker
Individual provider Active NPI Clinical Social Worker · Skokie, IL
NPI 1306160387 · NPPES record last updated Aug 8, 2016
Key facts
- NPI
- 1306160387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.0136226 (IL)
- Practice address
- 8707 Skokie Blvd
Suite 207
Skokie, IL 60077-2269 - Phone
- (847) 208-9260
- Fax
- (847) 568-0411
- NPI assigned
- Mar 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.0136226 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Care Counseling, PLLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.0136226 | IL | Yes |
Addresses
Primary practice location
8707 Skokie Blvd
Suite 207
Skokie, IL 60077-2269
Mailing address
8707 Skokie Blvd
Suite 207
Skokie, IL 60077-2269
Phone (847) 208-9260
NPI Registry JSON
{
"created_epoch": "1269043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1306160387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8707 SKOKIE BLVD",
"address_2": "SUITE 207",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772269",
"telephone_number": "847-208-9260",
"fax_number": "847-568-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8707 SKOKIE BLVD",
"address_2": "SUITE 207",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772269",
"telephone_number": "847-208-9260",
"fax_number": "847-568-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "CHERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-20",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.0136226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
- Lauren Boeta-Lopez
- James Winston Bogener
- Anna M. Bonadonna
- Amber Bond
- Jennifer M Bonnke
- Flora Booker
- Varun G. Bora
- Brian Dominic Bordini
- Martin J. Borenstein
- Anne E Borkowski
All providers in Skokie, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.