Cherry Street Services Inc
NPI 1013292580ActiveOrganization· Social Worker, Clinical· Grand Rapids, MI
Social Worker, Clinical in Grand Rapids, Michigan, registered in NPPES in October 2011, part of Cherry Street Services Inc. The authorized official on file is Tasha Blackmon, Chief Executive Officer.
Overview
| NPI | 1013292580 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Cherry Street Services Inc |
| NPI issued | Oct 17, 2011 |
| Last updated in NPPES | Dec 29, 2021 |
| Certified by provider | Dec 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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