MEDICARE: MS. CHERYL H COMBS-WALKER 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	101Y00000X	Counselor	KY3784	KY
2	1041C0700X	Clinical Social Worker	24-QMHP-R-2874	OR
3	1041C0700X	Clinical Social Worker	SW23442	FL
4	1041C0700X	Clinical Social Worker	089.0135815	VT
5	1041C0700X	Clinical Social Worker	3784	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	089.0135836	OTHER	VT	STATE OF VERMONT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	24-QMHP-R-2874	OTHER	OR	QMHP-R
4	SW23442	OTHER	FL	FLORIDA DEPARTMENT OF HEALTH DIVISION OF QUALITY ASSURANCE

General Provider Information

NPI Number	:	1891104600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERYL H COMBS-WALKER LCSW

Provider Business Mailing Address
First Line	:	1413 ABBOTT CREEK RD
Second Line	:
City	:	PRESTONSBURG
State	:	KY
Zip	:	41653-8930
Country	:	US
Telephone Number	:	606-791-4460
Fax Number	:

Provider Business Practice Location Address
First Line	:	1413 ABBOTT CREEK RD
Second Line	:
City	:	PRESTONSBURG
State	:	KY
Zip	:	41653-8930
Country	:	US
Telephone Number	:	606-791-4460
Fax Number	:

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

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	02/12/2025

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