Cheryl Y. Kono, MSW

Individual provider Active NPI Clinical Social Worker · Cudahy, CA

NPI 1780924357 · NPPES record last updated Feb 19, 2013

Key facts

NPI
1780924357
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
29839 (CA)
Practice address
7326 Wilcox Ave
Cudahy, CA 90201-4309
Phone
(323) 869-1352
Fax
(323) 869-1353
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
29839CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29839 CA Yes

Addresses

Primary practice location

7326 Wilcox Ave
Cudahy, CA 90201-4309

Mailing address

7326 Wilcox Ave
Cudahy, CA 90201-4309
Phone (323) 869-1352

Other providers in Cudahy, CA

All providers in Cudahy, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.