Cheri L Dietz, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73-080573 Issued in NY

Practice address

4535 Southwestern Blvd Ste 706a
Hamburg, NY 14075-1870

Phone

(716) 449-0494

NPI assigned

Jul 11, 2006

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tranquil Waters Counseling (LCSW) PLLC

  • Clinical Social Worker
  • Hamburg, NY
  • NPI 1568087146
  NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1710912688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 SOUTHWESTERN BLVD STE 706A",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751870",
            "telephone_number": "716-449-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 SOUTHWESTERN BLVD STE 706A",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751870",
            "telephone_number": "716-449-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "CHERI",
        "middle_name": "L",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73-080573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SimplePractice.com",
            "address_1": "4535 Southwestern Blvd Ste 706A",
            "city": "Hamburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140751870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Ann Demaria, MSPT
• J Todd Demario, O.D.
• Heather Derck, R.PH.
• Nidhi Dhawan, M.D.
• Andrea M Dicristofaro, LMSW
• Jennifer Kathleen Dilauro, MS, CCC-L-SLP, TSSLD
• Rebecca Lynn Dimitroff
• Discover Chiropractic PC
• Daniel Brian Dlugosz
• Michael T. Doldan, D.O.

• Clinical Social Worker in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.