Provider Demographics
NPI:1740369206
Name:VANMEVEREN, CHERYL A (LMHP CMSW LCSW)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:A
Last Name:VANMEVEREN
Suffix:
Gender:F
Credentials:LMHP CMSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S 1ST ST LOT 44
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:NE
Mailing Address - Zip Code:68347-5010
Mailing Address - Country:US
Mailing Address - Phone:402-890-1354
Mailing Address - Fax:
Practice Address - Street 1:225 S 1ST ST LOT 44
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:NE
Practice Address - Zip Code:68347-5010
Practice Address - Country:US
Practice Address - Phone:402-890-1354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2439101YM0800X
NE10471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100252430-00Medicaid