Provider Demographics
NPI:1760763858
Name:CROWELL, CHERIE ANN MILILANI (ACSW #120816)
Entity type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:ANN MILILANI
Last Name:CROWELL
Suffix:
Gender:F
Credentials:ACSW #120816
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:A MILILANI
Other - Last Name:MORTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACSW 120816
Mailing Address - Street 1:4250 FOWLER LN STE 204
Mailing Address - Street 2:
Mailing Address - City:DIAMOND SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95619-9782
Mailing Address - Country:US
Mailing Address - Phone:209-295-1491
Mailing Address - Fax:
Practice Address - Street 1:65 SAINT CHARLES ST E STE A&B
Practice Address - Street 2:
Practice Address - City:SAN ANDREAS
Practice Address - State:CA
Practice Address - Zip Code:95249-7775
Practice Address - Country:US
Practice Address - Phone:209-498-2227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1208161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical