Individual provider Active NPI

Cheryl Ann Kobernik, LMSW

  • Clinical Social Worker
  • Manistee, MI
National Provider Identifier
1386613123
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085280 Issued in MI
Practice address
385 3Rd St
Manistee, MI 49660-1718
Phone
(231) 309-1832
NPI assigned
Mar 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085280 MI Primary

Addresses

Primary practice location

385 3Rd St
Manistee, MI 49660-1718

Mailing address

1139 Forrester Rd
Frankfort, MI 49635-9381
Phone (231) 352-4865

Other identifiers 2

IdentifierTypeStateIssuer
CK085280OtherMI3RD PARTY IDENTIFIER
6801085280OtherMISTATE LICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386613123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 FORRESTER RD",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359381",
            "telephone_number": "231-352-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 3RD ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601718",
            "telephone_number": "231-309-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBERNIK",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3RD PARTY IDENTIFIER",
            "identifier": "CK085280",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6801085280",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.