Individual provider Active NPI

Linda Cherek, LICSW

  • Clinical Social Worker
  • White Bear Lake, MN
National Provider Identifier
1659477784
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14355 Issued in MN
Practice address
1310 Highway 96 E
White Bear Lake, MN 55110-3624
Phone
(651) 426-3071
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14355 MN Primary
Registered Nurse 163W00000X R0679334 MN

Addresses

Primary practice location

1310 Highway 96 E
White Bear Lake, MN 55110-3624

Mailing address

Birch Lake Professional Building 1310 Hwy 96
Suite 200
White Bear Lake, MN 55110-7606
Phone (651) 426-3071

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
R0679334MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Personal & Family Development PA Past Accepting new patients
Pathway Virtu-Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1659477784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BIRCH LAKE PROFESSIONAL BUILDING 1310 HWY 96",
            "address_2": "SUITE 200",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107606",
            "telephone_number": "651-426-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103624",
            "telephone_number": "651-426-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEREK",
        "first_name": "LINDA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14355",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R0679334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.