Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES WILLIAM KETCHEL, LCSW-R
Active Sole ProprietorCHARLES WILLIAM KETCHEL, LCSW-R is a Clinical Social Worker healthcare provider located in FABER, Virginia. NPI 1225478167 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FABER, VA
Registration Details
- NPI Number
- 1225478167
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2013 (13.108776772481 yrs)
- Last Updated
- Apr 6, 2020
- Licenses
-
904011232 (VA)R031920 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28 FOREST LNFABER, VA, 229382328Browse VA providers · Browse ZIP 22938
- Phone
- 8457582220
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.