Provider Demographics
NPI:1740526359
Name:SLAUGHTER, CHERI ANN (BS, LSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:CHERI
Middle Name:ANN
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:BS, LSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11420 DESTINATION DR APT 210
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4179
Mailing Address - Country:US
Mailing Address - Phone:720-365-1068
Mailing Address - Fax:
Practice Address - Street 1:5130 W 80TH AVE # A200
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4450
Practice Address - Country:US
Practice Address - Phone:720-365-1068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-31
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CO099272961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker