Kim Ann Chatha, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016989 Issued in PA

Practice address

1172 W Main St
#B
Stroudsburg, PA 18360-1329

Phone

(570) 424-6187

Fax

(570) 424-6271

NPI assigned

Oct 4, 2011

Last updated

Oct 4, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1457635864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 OVERLOOK TER",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609289",
            "telephone_number": "570-730-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 W MAIN ST",
            "address_2": "#B",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601329",
            "telephone_number": "570-424-6187",
            "fax_number": "570-424-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATHA",
        "first_name": "KIM",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Cherney, MS,OTRL
• Patricia Ann Cheslock, PSY.D.

• Clinical Social Worker in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.