Provider Demographics
NPI:1215086277
Name:KEY, CHERIE LEE (MSW, ACSW)
Entity type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:LEE
Last Name:KEY
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:LEE
Other - Last Name:KEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, ACSW
Mailing Address - Street 1:5445 LAUREL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-3105
Mailing Address - Country:US
Mailing Address - Phone:916-609-5100
Mailing Address - Fax:916-609-5160
Practice Address - Street 1:5445 LAUREL HILLS DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-3105
Practice Address - Country:US
Practice Address - Phone:916-609-5100
Practice Address - Fax:916-609-5160
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1192101041C0700X, 171M00000X
CAPENDING172V00000X
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA119210OtherASSOCIATE CLINICAL SOCIAL WORKER
AZ927030OtherAHCCS
AZ9240OtherPROFESSIONAL FOSTER CARE