Provider Demographics
NPI:1487839809
Name:CHEEVER, ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:CHEEVER
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 1:71 GANN WAY
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-6274
Mailing Address - Country:US
Mailing Address - Phone:608-556-9598
Mailing Address - Fax:
Practice Address - Street 1:2 COMMERCIAL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94949-6122
Practice Address - Country:US
Practice Address - Phone:415-761-1339
Practice Address - Fax:415-761-1339
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7604-1231041C0700X
CA745551041C0700X
NCC0057471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical