Provider Demographics
NPI:1265319438
Name:MATEO, CHERI (MSW, PCSW)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:MATEO
Suffix:
Gender:F
Credentials:MSW, PCSW
Other - Prefix:
Other - First Name:CHERI
Other - Middle Name:
Other - Last Name:BAER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1748
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-1748
Mailing Address - Country:US
Mailing Address - Phone:307-254-4835
Mailing Address - Fax:
Practice Address - Street 1:1501 STAMPEDE AVE STE 2058
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-4728
Practice Address - Country:US
Practice Address - Phone:307-254-3485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY12401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical