Christine Marie Bradley Chenitz, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18268 Issued in MD

Practice address

118 Glenloch Dr
Landenberg, PA 19350

Phone

(484) 758-0139

NPI assigned

Feb 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Pathways 4 Mental Health Monarch

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North East, MD
  • NPI 1043787021
  NPD (past)

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1679965214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 E BALTIMORE PIKE # 1005",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481864",
            "telephone_number": "484-758-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 GLENLOCH DR",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "19350",
            "telephone_number": "484-758-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENITZ",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE BRADLEY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001802",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - LCSW",
            "identifier": "Q1-0001892",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "18268",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - LCSW",
            "identifier": "CW021295",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brainheart Therapy Services PLLC
• Laura Kiernan Brinkmeyer, PA-C
• Anthony C Bruno
• America Cervantes
• Douglas Yuk Lam Chan
• Deborah A Christini
• Anne Deaven
• Karen Elizabeth Depoulter
• Payal Harish Desai
• Jody Lyn Eddy, M.S.

• Clinical Social Worker in Landenberg, PA
• Providers in Landenberg, 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 Feb 10, 2023; 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.