Provider Demographics
NPI:1104952340
Name:JAMES, CHERYL THERESA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:THERESA
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 SINGING VISTA CT
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-2735
Mailing Address - Country:US
Mailing Address - Phone:619-504-1472
Mailing Address - Fax:
Practice Address - Street 1:602 SINGING VISTA CT
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-2735
Practice Address - Country:US
Practice Address - Phone:619-504-1472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA192651041C0700X
CALCS 192651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty