Individual provider Active NPI

Anne Cheever, LCSW

  • Clinical Social Worker
  • Novato, CA
National Provider Identifier
1487839809
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
74555 Issued in CA
Practice address
2 Commercial Blvd Ste 200
Novato, CA 94949-6122
Phone
(415) 761-1339
Fax
(415) 761-1339
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7604-123 WI
Clinical Social Worker 1041C0700X 74555 CA Primary
Clinical Social Worker 1041C0700X C005747 NC

Addresses

Primary practice location

2 Commercial Blvd Ste 200
Novato, CA 94949-6122

Mailing address

71 Gann Way
Novato, CA 94949-6274
Phone (608) 556-9598

Other practice location 1

2901 Hunters Trl
Portage, WI 53901-3403
Phone (608) 742-5518

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

State licenses

LicenseStateTypeSpecialty
C005747NCMDClinical Social Worker
7604-123WIMDClinical Social Worker
74555CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487839809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 GANN WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496274",
            "telephone_number": "608-556-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COMMERCIAL BLVD STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496122",
            "telephone_number": "415-761-1339",
            "fax_number": "415-761-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Hunters Trl",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "WI",
            "postal_code": "539013403",
            "country_code": "US",
            "telephone_number": "608-742-5518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEEVER",
        "first_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7604-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74555",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.