Individual provider · Type 1 NPI

Chanel Gray Mateo, LCSW

Clinical Social Worker · Usaf Academy, CO

NPI number 1114432234 Active

Practice location

4102 Pinion Dr
Usaf Academy, CO 80840-2502

Mailing address

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XQ1-0001795 (DE)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114432234

Chanel Gray Mateo, LCSW's National Provider Identifier is 1114432234, issued on Dec 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Usaf Academy, CO. The record was last updated on Nov 19, 2024.