Individual provider · Type 1 NPI

Kelli M. Chan, ICSW

Clinical Social Worker · Ridgeley, WV

NPI number 1598056152 Active

Practice location

113 Quail Ridge Ln
Ridgeley, WV 26753-5200

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XDP00943767 (WV)
Clinical Social Worker 1041C0700X12834 (MD)

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 1598056152

Kelli M. Chan, ICSW's National Provider Identifier is 1598056152, issued on Apr 29, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ridgeley, WV. The record was last updated on Apr 29, 2011.