MEDICARE: MRS. CHERI VIOLET ATKINSON 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	LCSW4236	CA

General Provider Information

NPI Number	:	1992901383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERI VIOLET ATKINSON LCSW

Provider Business Mailing Address
First Line	:	16702 CORAL CAY LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-2907
Country	:	US
Telephone Number	:	714-803-8310
Fax Number	:	562-592-1872

Provider Business Practice Location Address
First Line	:	16702 CORAL CAY LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-2907
Country	:	US
Telephone Number	:	714-803-8310
Fax Number	:	562-592-1872

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

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	07/08/2007

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