Provider Demographics
NPI:1639573926
Name:THOMASON, CHERIE ANNE (MSW, LISW)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:ANNE
Last Name:THOMASON
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 VINE ST
Mailing Address - Street 2:CINCINNATI VA MEDICAL CENTER - MENTAL HEALTH CARE LINE
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2213
Mailing Address - Country:US
Mailing Address - Phone:812-532-2527
Mailing Address - Fax:812-539-2339
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:3200 VINE STREET
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:812-532-2527
Practice Address - Fax:812-539-2339
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.14510851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical