MEDICARE: CHEREE DANIELLE WHALEY 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	1041C0700X	Clinical Social Worker	2006014786	MO

General Provider Information

NPI Number	:	1790644714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHEREE DANIELLE WHALEY LCSW

Provider Business Mailing Address
First Line	:	3521 E LOREN ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65809-1450
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3521 E LOREN ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65809-1450
Country	:	US
Telephone Number	:	417-501-5034
Fax Number	:

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

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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