Active NPI
Cheryl Chick Sjoberg, M.S.W., L.I.C.S.W.
- Rehabilitation Counselor
- Los Angeles, CA
National Provider Identifier
1972858918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 00004750
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00004750 | Other | WA | DEPARTMENT OF HEALTH |
Other names 1
- Ms. Cheryl Louise Vaughn
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00004750 | WA | MD | Rehabilitation 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.