Provider Demographics
NPI:1396471074
Name:DAKOTA, CHERIE CARDINELLE (LMSW)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:CARDINELLE
Last Name:DAKOTA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:MARIE
Other - Last Name:CARDINELLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:102 W WASHINGTON ST STE 106102W
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4368
Mailing Address - Country:US
Mailing Address - Phone:906-228-8881
Mailing Address - Fax:906-228-4549
Practice Address - Street 1:118 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSE
Practice Address - State:MI
Practice Address - Zip Code:49946-1100
Practice Address - Country:US
Practice Address - Phone:906-228-8881
Practice Address - Fax:906-228-4549
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010622661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical