MEDICARE: CHERYL WARGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	283098	KY
2	101YP2500X	Professional Counselor	E.0600541	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063649390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL WARGO

Provider Business Mailing Address
First Line	:	20 N GRAND AVE STE 15
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-1755
Country	:	US
Telephone Number	:	216-468-5000
Fax Number	:	216-456-8128

Provider Business Practice Location Address
First Line	:	20 N GRAND AVE STE 15
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-1755
Country	:	US
Telephone Number	:	216-468-5000
Fax Number	:	216-456-8128

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2009
Last Update Date	:	06/18/2025

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Directions to “ CHERYL WARGO ” Practice Location

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