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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KELLI M CHAN, ICSW

Active Sole Proprietor

MS. KELLI M CHAN, ICSW is a Clinical Social Worker healthcare provider located in RIDGELEY, West Virginia. NPI 1598056152 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · RIDGELEY, WV

Registration Details

NPI Number
1598056152
Provider Type
Individual
Gender
Female
NPI Issued
Apr 29, 2011 (15.284698693925 yrs)
Last Updated
Apr 29, 2011
Licenses
DP00943767 (WV)
12834 (MD)
Sole Proprietor
Yes

Practice Information

Address
113 QUAIL RIDGE LN
RIDGELEY, WV, 267535200
Browse WV providers · Browse ZIP 26753
Phone
3012681699
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in RIDGELEY, WV

Name Credential NPI
LAUREL MARY VOSS MSW 1558182899
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.