Individual provider Active NPI

Cheryl Chick Sjoberg, M.S.W., L.I.C.S.W.

  • Rehabilitation Counselor
  • Los Angeles, CA
National Provider Identifier
1972858918
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
00004750 Issued in WA
Practice address
315 E. Temple Street
V.a. Ambulatory Care Center
Los Angeles, CA 90012-3328
Phone
(213) 253-5050
Fax
(213) 253-5123
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 00004750 WA Primary

Addresses

Primary practice location

315 E. Temple Street
V.a. Ambulatory Care Center
Los Angeles, CA 90012-3328

Mailing address

315 E. Temple Street
V.a. Ambulatory Care Center
Los Angeles, CA 90012-3328
Phone (213) 253-5050

Other identifiers 1

IdentifierTypeStateIssuer
00004750OtherWADEPARTMENT OF HEALTH

Other names 1

  • Ms. Cheryl Louise Vaughn Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00004750WAMDRehabilitation Counselor

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1972858918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E. TEMPLE STREET",
            "address_2": "V.A. AMBULATORY CARE CENTER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123328",
            "telephone_number": "213-253-5050",
            "fax_number": "213-253-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E. TEMPLE STREET",
            "address_2": "V.A. AMBULATORY CARE CENTER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123328",
            "telephone_number": "213-253-5050",
            "fax_number": "213-253-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJOBERG",
        "first_name": "CHERYL",
        "middle_name": "CHICK",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "WA",
            "license": "00004750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "00004750",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "VAUGHN",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "M.S.W., L.I.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.