Individual provider · Type 1 NPI

Kylene Chavis, RRT

Clinical Social Worker · Maxton, NC

NPI number 1154889913 Active

Practice location

4685 Prospect Rd
Maxton, NC 28364-9051

Mailing address

4657 Prospect Rd
Maxton, NC 28364-9051

Specialties and licenses

TaxonomyCodeLicense
Registered Respiratory Therapist 227900000X6675 (NC)
Clinical Social Worker Primary 1041C0700XPO21419 (NC)

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 1154889913

Kylene Chavis, RRT's National Provider Identifier is 1154889913, issued on Mar 11, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maxton, NC. The record was last updated on Oct 23, 2024.