Provider Demographics
NPI:1467196733
Name:ENGBERSON, CHERI (CSW)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:ENGBERSON
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 867
Mailing Address - Street 2:
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-0867
Mailing Address - Country:US
Mailing Address - Phone:801-816-1801
Mailing Address - Fax:801-501-0249
Practice Address - Street 1:46 EAST 300 NORTH
Practice Address - Street 2:
Practice Address - City:MOAB
Practice Address - State:UT
Practice Address - Zip Code:84532
Practice Address - Country:US
Practice Address - Phone:801-816-1801
Practice Address - Fax:801-501-0249
Is Sole Proprietor?:No
Enumeration Date:2022-04-23
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12516813-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical