Provider Demographics
NPI:1487611737
Name:AMES, CHERI LYNN (LICSW)
Entity type:Individual
Prefix:MS
First Name:CHERI
Middle Name:LYNN
Last Name:AMES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CHERI
Other - Middle Name:
Other - Last Name:SKAVLEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 603
Mailing Address - Street 2:603 BRUCE ST
Mailing Address - City:CROOKSTON
Mailing Address - State:MN
Mailing Address - Zip Code:56716-0603
Mailing Address - Country:US
Mailing Address - Phone:218-281-3940
Mailing Address - Fax:218-281-6261
Practice Address - Street 1:603 BRUCE ST
Practice Address - Street 2:603 BRUCE ST
Practice Address - City:CROOKSTON
Practice Address - State:MN
Practice Address - Zip Code:56716-2914
Practice Address - Country:US
Practice Address - Phone:218-281-3940
Practice Address - Fax:218-281-6261
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN161621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN268P5LUOtherBCBS BHSI
HP58085OtherHEALTH PARTNERS
1045654OtherPREFERRED ONE
MN634183700Medicaid
MN800001648Medicare ID - Type Unspecified