Provider Demographics
NPI:1992901383
Name:ATKINSON, CHERI VIOLET (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:VIOLET
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16702 CORAL CAY LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-2907
Mailing Address - Country:US
Mailing Address - Phone:714-803-8310
Mailing Address - Fax:562-592-1872
Practice Address - Street 1:16702 CORAL CAY LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-2907
Practice Address - Country:US
Practice Address - Phone:714-803-8310
Practice Address - Fax:562-592-1872
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW42361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical