Active NPI
Cheri Yvonne Doval, LCSW
- Clinical Social Worker
- Middleburg, FL
National Provider Identifier
1831166941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW7962
- Practice address
- 4799 Calendula Ave
Middleburg, FL 32068-5411 - Phone
- (904) 884-0880
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW7962 | FL | Primary |
Addresses
Primary practice location
4799 Calendula Ave
Middleburg, FL 32068-5411
Mailing address
4799 Calendula Ave
Middleburg, FL 32068-5411
Phone (904) 884-0880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36499011 | Other | MO | BC BS |
| 49762304 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- cheri.doval.1@30520.direct.athenahealth.com
Organizations & group practices 1
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": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1831166941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4799 CALENDULA AVE",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320685411",
"telephone_number": "904-884-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4799 CALENDULA AVE",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320685411",
"telephone_number": "904-884-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVAL",
"first_name": "CHERI",
"middle_name": "YVONNE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW7962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "36499011",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49762304",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.