Cherek, Nicole

Cherek, Nicole is an individual health care provider with primary practice located at 121 W Main St , Port Washington WI 53074-1813. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Cherek, Nicole can be contacted via phone (262) 284-8200.

Contact Information

Primary practice address
121 W Main St Port Washington WI 53074-1813
Phone: (262) 284-8200
Fax: (262) 284-8104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6542-120 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 3238-125 Wisconsin

Profile Details

NPI number 1417971417
LBN Legal business name Cherek, Nicole
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Dec 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417971417 NPPES
Wisconsin MEDICAID 40932300

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