Kelly Marie Chadwick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009598 Issued in VA

Practice address

9157 Atlee Rd Ste a
Mechanicsville, VA 23116-2504

Phone

(804) 937-5344

Fax

(844) 236-4057

NPI assigned

Jan 26, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelly Marie Myers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelly M. Chadwick, LCSW, LLC

  dba KMC, LLC

  • Clinical Social Worker
  • Mechanicsville, VA
  • NPI 1811488224
  NPD Authorized official
• Anchor of Hope Therapy Services, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1275262891
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1437696689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9157 ATLEE ROAD SUITE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162504",
            "telephone_number": "804-482-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9157 ATLEE RD STE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162504",
            "telephone_number": "804-937-5344",
            "fax_number": "844-236-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MYERS",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dean Emerson Caven, M.D.
• Cedarfield Corporation
• Center of the Universe Investments LLC (Blair's Drug Store)
• Central Virginia Dental Care PLC (Sparkle Pediatric Dentistry)
• Central Virginia Hand Therapy Associates PLLC (Central Virginia Therapy)
• La'Tisha Chambers, OT
• Anne H. Chan, PT
• Chandler Eye Care Specialists PC
• Blaire Chandler, DPT
• David Alan Chandler, M.D.

• Clinical Social Worker in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.