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

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
149.0136226ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Care Counseling, PLLC Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 8, 2016.

{
    "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

All providers in Skokie, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.