MEDICARE: CHERIE LYNN TRUAX LCSW

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	104100000X	Social Worker	149029590	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	149029590	OTHER	IL	LCSW
2	150108146	OTHER	IL	LICENSE

General Provider Information

NPI Number	:	1760119218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERIE LYNN TRUAX LCSW

Provider Business Mailing Address
First Line	:	2506 GALEN DR STE 106
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61821-7047
Country	:	US
Telephone Number	:	217-531-2736
Fax Number	:

Provider Business Practice Location Address
First Line	:	2506 GALEN DR STE 206
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61821-7046
Country	:	US
Telephone Number	:	217-531-2736
Fax Number	:

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

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	10/02/2025

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