1760763858 NPI number — MS. CHERIE ANN MILILANI CROWELL ACSW

Table of content: MS. CHERIE ANN MILILANI CROWELL ACSW (NPI 1760763858)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760763858 NPI number — MS. CHERIE ANN MILILANI CROWELL ACSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CROWELL
Provider First Name:
CHERIE
Provider Middle Name:
ANN MILILANI
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
ACSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MORTON
Provider Other First Name:
CHERIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1760763858
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1235
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANGELS CAMP
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95222-1235
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-712-0606
Provider Business Mailing Address Fax Number:
209-398-8759

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13975 MONO WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SONORA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95370-2824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-533-6144
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2011

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:  120816 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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