Individual provider · Type 1 NPI

Kenneth Charles Chadwick Jr.

Clinical Social Worker · Indio, CA

NPI number 1790201432 Active

Practice location

44199 Monroe St
Indio, CA 92201-3096

Call (760) 863-7148 Map

Mailing address

9825 Magnolia Ave Ste B
Riverside, CA 92503-3565

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1466610422 (CA)
Case Manager/Care Coordinator 171M00000XR1466610422 (CA)
Clinical Social Worker Primary 1041C0700X130717 (CA)
Peer Specialist 175T00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1790201432

Kenneth Charles Chadwick Jr.'s National Provider Identifier is 1790201432, issued on Aug 15, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indio, CA. The record was last updated on Aug 7, 2025.