Provider Demographics
NPI:1356399331
Name:ARNETT, CHERIE (LCSW)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:
Last Name:ARNETT
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:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IN
Mailing Address - Zip Code:47558-0035
Mailing Address - Country:US
Mailing Address - Phone:812-486-2333
Mailing Address - Fax:812-486-2784
Practice Address - Street 1:542 N 3RD ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:IN
Practice Address - Zip Code:47558-5745
Practice Address - Country:US
Practice Address - Phone:812-486-2333
Practice Address - Fax:812-486-2784
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN340046221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM400046763Medicare PIN
IN608950TMedicare ID - Type Unspecified