Provider Demographics
NPI:1013094093
Name:HESS, CHERYL ANN (PMHNP, LCSW)
Entity Type:Individual
Prefix:
First Name:CHERYL ANN
Middle Name:
Last Name:HESS
Suffix:
Gender:F
Credentials:PMHNP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2715 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6818
Mailing Address - Country:US
Mailing Address - Phone:919-354-0840
Mailing Address - Fax:877-840-6694
Practice Address - Street 1:1200 RIDGEFIELD BLVD STE 250
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2287
Practice Address - Country:US
Practice Address - Phone:828-633-6070
Practice Address - Fax:828-633-6073
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-01-27
Deactivation Date:2021-03-03
Deactivation Code:
Reactivation Date:2021-04-06
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000037001041C0700X
TNAPN0000017669163WP0809X
NC5009551363LP0808X
OR202112142NP-PP363LP0808X
SC18764363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3927844Medicaid
SCNP2775Medicaid
SCP01577818OtherRAILROAD MEDICARE
TNQ023142Medicaid
SCSC32717652Medicare PIN
SCSC32718510Medicare PIN
SCNP2775Medicaid
TNQ023142Medicaid