Cordell Thomas Cheret, LCSW
Social Worker, Clinical in Phoenix, AZ. Individual provider (NPI-1).
NPI number1194375352
StatusActive
Last updated in NPPESOct 23, 2025
Details
- NPI
- 1194375352
- Entity type
- Individual (NPI-1)
- Name
- Cordell Thomas Cheret
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2019
- Certification date
- Oct 23, 2025
- Last updated
- Oct 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW17970 | – | Yes |
Practice location
2 N Central Ave Fl 18Phoenix, AZ 85004-2322
Phone 480-868-1601
Mailing address
2 N Central Ave Fl 18Phoenix, AZ 85004-2322
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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