National Provider Identifier
Roberta Darlene Cheatham, LMSW
Roberta Darlene Cheatham, LMSW is listed in the NPPES registry with a primary specialty of Professional Counselor in Elmira, NY and a listed phone number of (607) 215-3619.
Profile Overview
- NPI
- 1649839499
- Provider Type
- Individual
- Primary Specialty
- Professional Counselor
- Enumeration Date
- June 06, 2019
- Last Updated
- January 19, 2024
Practice Location
- 101 Franklin St
- Elmira, NY 14904-1737
Phone: (607) 215-3619
Specialties
- Professional Counselor (101YP2500X)
- Professional Counselor (101YP2500X)
Full Record
- NPI
- 1649839499
- Entity Type
- Individual
- Last Name
- Cheatham
- First Name
- Roberta
- Middle Name
- Darlene
- Credential
- LMSW
- Provider Other Last Name
- Cheatham
- Provider Other First Name
- Roberta
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- ROBERTA CHEATHAM
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 101 Franklin St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14904-1737
- Mailing Country
- US
- Mailing Phone
- (607) 215-3619
- Practice Street Address
- 101 Franklin St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14904-1737
- Practice Country
- US
- Practice Phone
- (607) 215-3619
- Enumeration Date
- June 06, 2019
- Last Updated
- January 19, 2024
- Deactivation Date
- October 21, 2020
- Reactivation Date
- January 19, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- October 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Professional Counselor (101YP2500X), Professional Counselor (101YP2500X)