Cheryl Elizabeth McClurg Zinkievich, LCSW-R, CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078590 Issued in NY

Practice address

6463 Dodson Rd
Wyoming, NY 14591-9527

Phone

(585) 356-7598

NPI assigned

Jan 11, 2013

Last updated

Nov 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cheryl Elizabeth McClurg Zinkievich Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1972840817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 DODSON RD",
            "city": "WYOMING",
            "state": "NY",
            "postal_code": "145919527",
            "telephone_number": "585-356-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 DODSON RD",
            "city": "WYOMING",
            "state": "NY",
            "postal_code": "145919527",
            "telephone_number": "585-356-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURG ZINKIEVICH",
        "first_name": "CHERYL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "MCCLURG ZINKIEVICH",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlyn Bush, M.A. SLP/L
• Joelle Evans
• Alicia A Freeman
• Madeline Horst, OTR/L
• Tiffney A Malloy, TOD/HI
• Elizabeth M Meyer, LMT
• Andrea Monk
• Bonnie Nash, RN
• Sarah M Schafer, MS, RN, ANP
• Lisa Louise Snider-Gauthier, MASTERS IN EDUCATION

• Clinical Social Worker in Wyoming, NY
• Providers in Wyoming, 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 Nov 2, 2017; 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.