Individual provider Active NPI

Cheryl Ann Fregolle Satawa-Vaughn, MSW/LMSW, MPA

  • Clinical Social Worker
  • Taylor, MI
National Provider Identifier
1477598696
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801069429 Issued in MI
Practice address
20500 Eureka Rd Ste 200
Taylor, MI 48180-6394
Phone
(734) 281-2700
Fax
(734) 281-0402
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 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 6801069429 MI Primary

Addresses

Primary practice location

20500 Eureka Rd Ste 200
Taylor, MI 48180-6394

Mailing address

20500 Eureka Rd Ste 200
Taylor, MI 48180-6394
Phone (734) 281-2700

Other names 1

  • Ms. Cheryl Ann Fregolle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000023 MI Practitioner - Clinical Social Worker 9638248693 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

20500 Eureka Rd
Suite 200
Taylor, MI 48180-6394
Phone (734) 285-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical Current Accepting new patients
Services to Enhance Potential CurrentSince Apr 1, 2016 Accepting new patients
Neighborhood Service Organization CurrentSince Apr 2, 2021 Accepting new patients
Pure Psychiatry of Michigan PLLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

2200 Genoa Business Park Dr
Ste 100
Brighton, MI 48114
Phone (810) 449-7180

2941 S Gulley Rd
Dearborn, MI 48124
Phone (313) 278-3040

8600 Woodward Ave
Detroit, MI 48202
Phone (313) 875-7601

20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 285-8282

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

375 Eureka Rd
Ste B
Wyandotte, MI 48192
Phone (734) 225-9300

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.cherylfregolle@150339.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1477598696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20500 EUREKA RD STE 200",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806394",
            "telephone_number": "734-281-2700",
            "fax_number": "734-281-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20500 EUREKA RD STE 200",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806394",
            "telephone_number": "734-281-2700",
            "fax_number": "734-281-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATAWA-VAUGHN",
        "first_name": "CHERYL",
        "middle_name": "ANN FREGOLLE",
        "name_prefix": "Ms.",
        "credential": "MSW/LMSW, MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801069429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "FREGOLLE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MSW/LMSW, MPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.