Provider Demographics
NPI:1215048376
Name:CHERMAN, STEVEN BARRY (MSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:BARRY
Last Name:CHERMAN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 REDWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1341
Mailing Address - Country:US
Mailing Address - Phone:626-441-3466
Mailing Address - Fax:323-344-8606
Practice Address - Street 1:1605 HOPE ST STE 305
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-2689
Practice Address - Country:US
Practice Address - Phone:626-441-3466
Practice Address - Fax:888-965-2085
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1041C0700X
CALMFT11656106H00000X
CALCSW60021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAR65112Medicare UPIN