| Cheryl Nix Lcsw Llc | |
|
190 Nw 4th St Prineville OR 97754-1820 | |
| (541) 416-3697 | |
| Not Available |
| Full Name | Cheryl Nix Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 190 Nw 4th St, Prineville, Oregon |
| Authorized Official Name and Position | Cheryl Nix (OWNER) |
| Authorized Official Contact | 5417971643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Nix Lcsw Llc 190 Nw 4th St Prineville OR 97754-1820 Ph: () - | Cheryl Nix Lcsw Llc 190 Nw 4th St Prineville OR 97754-1820 Ph: (541) 416-3697 |
| NPI Number | 1639716434 |
|---|---|
| Provider Enumeration Date | 11/29/2019 |
| Last Update Date | 06/21/2020 |
| Certification Date | 06/21/2020 |
| Medicare PECOS PAC ID | 2567899784 |
|---|---|
| Medicare Enrollment ID | O20200228001752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639716434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cheryl A Nix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861037608 PECOS PAC ID: 3476980699 Enrollment ID: I20200309000022 |
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