Healthcare Provider Details

I. General information

NPI: 1013415074
Provider Name (Legal Business Name): CHEROKEE CABELL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2018
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2434 CATASAUQUA RD
BETHLEHEM PA
18018-1008
US

IV. Provider business mailing address

824 N BLACK HORSE PIKE
RUNNEMEDE NJ
08078-1034
US

V. Phone/Fax

Practice location:
  • Phone: 855-417-2486
  • Fax:
Mailing address:
  • Phone: 856-939-5656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW023624
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05701800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: