Christa Chesley, LCSW-C

Individual provider Active NPI Clinical Social Worker · Cambridge, MD

NPI 1669749495 · NPPES record last updated Nov 22, 2011

Key facts

NPI
1669749495
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
17468 (MD)
Practice address
3 Cedar St
Cambridge, MD 21613-2362
Phone
(410) 228-0973
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
17468MDMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17468 MD Yes

Addresses

Primary practice location

3 Cedar St
Cambridge, MD 21613-2362

Mailing address

3 Cedar St
Cambridge, MD 21613-2362
Phone (410) 228-0973

Other providers in Cambridge, MD

All providers in Cambridge, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.