Individual provider Active NPI

Cheryl A Nix, LCSW

  • Clinical Social Worker
  • Prineville, OR
National Provider Identifier
1861037608
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7878 Issued in OR
Practice address
190 NW 4TH St
Prineville, OR 97754-1820
Phone
(541) 416-3697
Fax
(541) 416-3707
NPI assigned
Nov 15, 2019
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 L7878 OR Primary

Addresses

Primary practice location

190 NW 4TH St
Prineville, OR 97754-1820

Mailing address

190 NW 4TH St
Prineville, OR 97754-1820
Phone (541) 416-3697

Other names 1

  • Cheryl A Nix Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl Nix LCSW LLC Clinical CurrentSince Dec 1, 2019 Accepting new patients

Locations

190 NW 4th St
Prineville, OR 97754
Phone (541) 233-7735

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, 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": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1861037608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NW 4TH ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541820",
            "telephone_number": "541-416-3697",
            "fax_number": "541-416-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NW 4TH ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541820",
            "telephone_number": "541-416-3697",
            "fax_number": "541-416-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "NIX",
            "middle_name": "A",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Prineville, OR

Sources for this page

Verify at the official NPI Registry.