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NPI Code Detail

MEDICARE: MS. CHERIE LEE KEY MSW, ACSW

MEDICARE: MS. CHERIE LEE KEY MSW, ACSW
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
11041C0700XClinical Social Worker119210CA
2171M00000XCase Manager/Care Coordinator119210CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1119210OTHERCAASSOCIATE CLINICAL SOCIAL WORKER
2927030OTHERAZAHCCS
39240OTHERAZPROFESSIONAL FOSTER CARE

General Provider Information

NPI Number : 1215086277
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHERIE LEE KEY MSW, ACSW
Provider Business Mailing Address
First Line : 5445 LAUREL HILLS DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-3105
Country : US
Telephone Number : 916-609-5100
Fax Number : 916-609-5160
Provider Business Practice Location Address
First Line : 5445 LAUREL HILLS DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-3105
Country : US
Telephone Number : 916-609-5100
Fax Number : 916-609-5160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 12/06/2024

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