Provider Demographics
NPI:1659881340
Name:MACMILLAN, CHERICE YVETTE (MSW, LSW)
Entity Type:Individual
Prefix:MRS
First Name:CHERICE
Middle Name:YVETTE
Last Name:MACMILLAN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:MRS
Other - First Name:CHERICE
Other - Middle Name:Y
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:959 ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-3409
Mailing Address - Country:US
Mailing Address - Phone:973-463-9600
Mailing Address - Fax:
Practice Address - Street 1:959 ROUTE 46
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-3409
Practice Address - Country:US
Practice Address - Phone:973-463-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-06
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06124400104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty