Provider Demographics
NPI:1255630935
Name:CHEELEY, TOSHIE MINHAE (LCSW)
Entity type:Individual
Prefix:MS
First Name:TOSHIE
Middle Name:MINHAE
Last Name:CHEELEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MINHAE
Other - Middle Name:TOSHIE
Other - Last Name:CHEELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3125 MYERS STREET
Mailing Address - Street 2:BLDG 3
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503
Mailing Address - Country:US
Mailing Address - Phone:951-358-5810
Mailing Address - Fax:
Practice Address - Street 1:3125 MYERS STREET
Practice Address - Street 2:BLDG 3
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503
Practice Address - Country:US
Practice Address - Phone:951-358-5810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 277691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical