Provider Demographics
NPI:1164829503
Name:MAGUEJA, CHERIE (MSW LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:
Last Name:MAGUEJA
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4332 WESTHAMPTON PLACE CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-7998
Mailing Address - Country:US
Mailing Address - Phone:314-443-4142
Mailing Address - Fax:
Practice Address - Street 1:4332 WESTHAMPTON PLACE CIR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-7998
Practice Address - Country:US
Practice Address - Phone:314-443-4142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040198191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical