Provider Demographics
NPI:1275801995
Name:TALBERT, CHERYL LEWIS (MSW, CSW)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:LEWIS
Last Name:TALBERT
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-3625
Mailing Address - Country:US
Mailing Address - Phone:859-389-9220
Mailing Address - Fax:
Practice Address - Street 1:1101 VETERANS DRIVE
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-9987
Practice Address - Country:US
Practice Address - Phone:859-233-4511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4123104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker