CHERYL ELLEN SMITH (NPI# 1558813048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558813048 |
| Entity Type | Individual |
| Full Name | CHERYL ELLEN SMITH |
| Other Name | CHERYL ELLEN HODGKINS |
| Credential | LICSW |
| Practice Address |
720 4th St N Fargo ND 58122-0001 |
| Mailing Address |
Po Box 2010 Fargo ND 58122-0001 |
| Practice Telephone | 7012346486 |
| Mailing Telephone | 7012346486 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
25806 | MN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3518 | ND | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174058119 | Cheryl Smith | Counselor | 636 Ne 35th Loop, Ocala, FL 34479-2356 | 2017-04-27 |
| 1578953154 | Cheryl Smith | Counselor | 13 Mark Rd, Franklin, NH 03235-1429 | 2015-02-03 |
| 1437553807 | Cheryl Smith | Registered Nurse | 330 West Oak, Amite, LA 70422 | 2014-10-14 |
| 1497176093 | Cheryl Funsch Smith | Psychologist | 2031 N Green Acres Rd Ste A, Fayetteville, AR 72703-2619 | 2013-12-27 |
| 1295070720 | Cheryl Leslie Smith | Registered Nurse | 2395 Black Diamond Rd, Port Angeles, WA 98363-9442 | 2012-12-10 |
| 1013290089 | Cheryl Smith | Registered Nurse | 01 Home Office, Towson, MD 21286 | 2011-09-26 |
| 1730470873 | Cheryl Smith | Pharmacist | 82 Vt Route 15 W, Rite Aid Pharmacy, Hardwick, VT 05843 | 2011-04-24 |
| 1780839530 | Cheryl A Smith | Social Worker | 216 N Main St Ste C, Trenton, FL 32693-3427 | 2008-11-20 |
| 1205093093 | Cheryl L Smith | Dietitian, Registered | 1461 E Omaha St, Apt. B2, Broken Arrow, OK 74012-0316 | 2008-05-19 |
| 1124234539 | Cheryl Smith | Dentist | 6800 Heritage Pkwy, Ste 202, Rockwall, TX 75087-8746 | 2007-05-15 |
| Street Address |
720 4TH ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58122-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336360494 | Elise Rose Carlson | Pharmacist | 720 4th St N, Route 204, Fargo, ND 58122-0204 | 2007-05-02 |
| 1720238025 | Monte Lon Roemmich | Pharmacist | 720 4th St N, Fargo, ND 58122-4520 | 2008-09-23 |
| 1255512844 | Denise M Bartholomay | Pharmacist | 720 4th St N, Fargo, ND 58122-4520 | 2007-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142747 | Kayla Estepp | Internal Medicine | 737 Broadway North, Fargo, ND 58122 | 2017-09-05 |
| 1376091793 | Paul Mckay | Physical Therapist | 801 Broadway N., Fargo, ND 58122 | 2016-09-14 |
| 1801290150 | Mark Noah | Physical Therapist | 1720 South University, Fargo, ND 58122 | 2014-10-15 |
| 1245633486 | Diana Palm | Physical Therapist | 1720 University Drive South, Fargo, ND 58122 | 2014-10-02 |
| 1447696406 | Mohamad Imam | Internal Medicine | 801 Broadway North, Fargo, ND 58122 | 2013-05-17 |
| 1457615155 | Chantee Seung Gruenhagen | Nurse Practitioner | 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 | 2012-06-27 |
| 1457594079 | Manisha Balhara | Specialist | 2400 32nd Avenue S, Fargo, ND 58122 | 2009-04-13 |
| 1578536728 | Shelby A Terstriep | Internal Medicine | 820 4 Street North, Fargo, NC 58122 | 2006-02-08 |
| 1295229946 | Christopher Hinh | Student in an Organized Health Care Education/Training Program | 801 Broadway North, Fargo, ND 58122 | 2018-06-17 |
| 1558854539 | Suchita Kotnala | Family Medicine | 737 Broadway North, Fargo, ND 58122 | 2018-06-13 |
| Find all providers in zip 58122 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861955296 | Empower Counseling LLC | Social Worker | 4675 40th Ave S Ste 130, Fargo, ND 58104-4444 | 2019-04-11 |
| 1295262897 | Centerstone Counseling | Social Worker | 417 38th St Sw Ste D, Fargo, ND 58103-6508 | 2017-05-15 |
| 1992252621 | Brittany Schank | Social Worker | 1321 23rd St S Ste D, Fargo, ND 58103-3724 | 2016-09-11 |
| 1558726083 | Cathy Lynn Bauer-kottenbrock | Social Worker | 2101 Elm Street N, Fargo, ND 58102-2498 | 2015-12-29 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1942625983 | Jennifer Lenore Anderson | Social Worker | 1351 Page Dr S Ste 202, Fargo, ND 58103-3536 | 2014-02-27 |
| 1992147243 | Shawna Marie Croaker | Social Worker | 4553 9th Ave S Ste 3, Fargo, ND 58103-7253 | 2013-07-26 |
| 1992056147 | Nicholas Gard | Social Worker | 1112 Nodak Dr S Ste 105, Fargo, ND 58103-2366 | 2012-09-27 |
| 1265707848 | Erika Louise Lake | Social Worker | 1330 Page Dr S Ste 101, Fargo, ND 58103-3551 | 2012-03-15 |
| 1346519378 | Trishia K Powell | Social Worker | 3125 41st St S, Fargo, ND 58104-8666 | 2011-12-20 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.