Provider Demographics
NPI:1316223209
Name:PIERCE, CHEYENNE IONE (MSW)
Entity type:Individual
Prefix:MRS
First Name:CHEYENNE
Middle Name:IONE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:CHEYENNE
Other - Middle Name:IONE
Other - Last Name:PIERCE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:1238 S LONGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-1758
Mailing Address - Country:US
Mailing Address - Phone:323-378-7933
Mailing Address - Fax:323-424-3559
Practice Address - Street 1:1238 S LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-1758
Practice Address - Country:US
Practice Address - Phone:323-378-7933
Practice Address - Fax:323-424-3559
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker