MEDICARE: MRS. CHERIE G. NUCKOLS LCSW

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904003764	VA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19962400	OTHER	VA	MAGELLAN
2	7355625	OTHER	VA	AETNA
3	089680M	OTHER	VA	OPTIMA/SENTERA/SOUTHERN H
4	300191855	OTHER	VA	UNITED BEHAVIORAL HEALTH
5	345976	OTHER	VA	MHN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	487110	OTHER	VA	VALUE OPTIONS
8	138146	OTHER	VA	ANTHEM
9	2133877	OTHER	VA	MAMSI
10	300191855	OTHER	VA	PHCS
11	238857	OTHER	VA	COMPPSYCH

NPI Number	:	1275508046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERIE G. NUCKOLS LCSW

Provider Business Mailing Address
First Line	:	6851 COURTHOUSE RD STE 300
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-5308
Country	:	US
Telephone Number	:	804-715-3215
Fax Number	:	804-715-3233

Provider Business Practice Location Address
First Line	:	6851 COURTHOUSE RD
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-5308
Country	:	US
Telephone Number	:	804-715-3215
Fax Number	:	804-715-3233

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	02/12/2026

6851 COURTHOUSE RD , SUITE 300
CHESTERFIELD, VA
23832-5308

Practice Phone: 804-715-3215
Practice Fax:

6851 COURTHOUSE RD , FOOTSTEPS COUNSELING CENTER, SUITE 300
CHESTERFIELD, VA
23832-5308