Individual provider Active NPI

Allison Faith Cherry, LCSW, CLC

  • Clinical Social Worker
  • Glendora, CA
National Provider Identifier
1609389386
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26536 Issued in CA
Practice address
622 Thornhurst Ave
Glendora, CA 91741-2364
Phone
(626) 833-8181
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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 26536 CA Primary

Addresses

Primary practice location

622 Thornhurst Ave
Glendora, CA 91741-2364

Mailing address

622 Thornhurst Ave
Glendora, CA 91741-2364
Phone (626) 833-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190924000251 CA Practitioner - Clinical Social Worker 1951631670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 N Glendora Ave
Suite 205
Glendora, CA 91741-6924
Phone (626) 385-6143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Professional Services Inc CurrentSince Jan 12, 2020 Accepting new patients
Soultenders Psychological Services, Inc. Clinical CurrentSince Jul 2, 2026 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

150 E Meda Ave
Ste 110
Glendora, CA 91741
Phone (626) 629-6642

216 N Glendora Ave
Ste 205
Glendora, CA 91741
Phone (626) 385-6143

419 W Foothill Blvd
Monrovia, CA 91016
Phone (626) 701-4249

Organizations & group practices 2

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": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1609389386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 THORNHURST AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412364",
            "telephone_number": "626-833-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 THORNHURST AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412364",
            "telephone_number": "626-833-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "ALLISON",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.