Individual provider · Type 1 NPI

Kala Churchman

Clinical Social Worker · Elmira, NY

NPI number 1861240962 Active

Practice location

459 Philo Rd
Elmira, NY 14903-1051

Mailing address

7965 State Route 36
Arkport, NY 14807-9789

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X098189 (NY)

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 1861240962

Kala Churchman's National Provider Identifier is 1861240962, issued on May 13, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elmira, NY. The record was last updated on Aug 18, 2024.