MEDICARE: MRS. CHERYL WALSH PICKERING MSW, LSCSW

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	1041C0700X	Clinical Social Worker	LCSW18295	AZ

General Provider Information

NPI Number	:	1619122686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERYL WALSH PICKERING MSW, LSCSW

Provider Business Mailing Address
First Line	:	8865 E BASELINE RD # 100
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85209-5300
Country	:	US
Telephone Number	:	620-262-1900
Fax Number	:	620-262-1900

Provider Business Practice Location Address
First Line	:	8865 E BASELINE RD # 100
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85209-5300
Country	:	US
Telephone Number	:	620-262-1900
Fax Number	:	620-262-1900

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

Provider Enumeration Date	:	11/18/2008
Last Update Date	:	12/19/2025

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