Cheryl D Allen
Individual provider Active NPI Clinical Social Worker · Yucca Valley, CA
NPI 1962633065 · NPPES record last updated Mar 17, 2016
Key facts
- NPI
- 1962633065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW70625 (CA)
- Practice address
- 57407 29 Palms Hwy Ste F
Yucca Valley, CA 92284-2907 - Phone
- (760) 366-1541
- Fax
- (760) 288-1614
- NPI assigned
- Aug 6, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW70625 | CA | MD | Clinical Social Worker |
| 70625 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW70625 | CA | Yes |
Addresses
Primary practice location
57407 29 Palms Hwy Ste F
Yucca Valley, CA 92284-2907
Mailing address
57407 29 Palms Hwy Ste F
Yucca Valley, CA 92284-2907
Phone (760) 366-1541
Other providers in Yucca Valley, CA
- Heidi Albright
- Jorge Alfonso Algarin
- Kathryn Alkire
- All As Well Corp.
- Anessa Allen
- Shylander Allen
- Breanne Allison
- Jessica Lynn Alliss
- Ryan Daniel Alvarez
- American Cab Co
All providers in Yucca Valley, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.