Nancy Chadwick, LCSW

Individual provider Active NPI Clinical Social Worker · Davis, CA

NPI 1992819262 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992819262
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCS5367 (CA)
Practice address
803 Second Street
Suite 2C
Davis, CA 95616
Phone
(530) 753-1417
Fax
(530) 753-1417
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LCS5367CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS5367 CA Yes

Addresses

Primary practice location

803 Second Street
Suite 2C
Davis, CA 95616

Mailing address

1000 B St
Davis, CA 95616-2001
Phone (530) 758-5063

Other providers in Davis, CA

All providers in Davis, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.