1477598696 NPI number — MS. CHERYL ANN FREGOLLE SATAWA-VAUGHN MSW/LMSW, MPA

Table of content: MS. CHERYL ANN FREGOLLE SATAWA-VAUGHN MSW/LMSW, MPA (NPI 1477598696)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477598696 NPI number — MS. CHERYL ANN FREGOLLE SATAWA-VAUGHN MSW/LMSW, MPA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SATAWA-VAUGHN
Provider First Name:
CHERYL
Provider Middle Name:
ANN FREGOLLE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW/LMSW, MPA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FREGOLLE
Provider Other First Name:
CHERYL
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW/LMSW, MPA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1477598696
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/23/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20500 EUREKA RD STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAYLOR
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48180-6394
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-281-2700
Provider Business Mailing Address Fax Number:
734-281-0402

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20500 EUREKA RD STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAYLOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48180-6394
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-281-2700
Provider Business Practice Location Address Fax Number:
734-281-0402
Provider Enumeration Date:
06/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  6801069429 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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