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CHARLES WILLIAM KETCHEL LCSW-R
NPI 1225478167
Social Worker - Clinical in Faber, VA

Active since June 25, 2013Opted out of Medicare · through Jan 17, 2027

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles William Ketchel Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES WILLIAM KETCHEL LCSW-R (NPI 1225478167) is an individual clinical provider in Faber, Virginia, licensed in New York (R031920) and active in the NPI registry since June 2013. He has opted out of Medicare through January 17, 2027.

NPPES Registry Identity

NPI1225478167
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLES WILLIAM KETCHELCredential: LCSW-R
Location Address28 FOREST LNFaber, VA 22938-2328
Mailing Address28 Forest LnFaber, VA 22938-2328 · (845) 758-2220
Phone(845) 758-2220
Sole ProprietorYes
Enumeration DateJune 25, 2013
Last NPPES UpdateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1225478167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · R031920✔ Licensed in VA · 904011232
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
28 FOREST LN, Faber, VA 22938
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Other Names 1

Professional Name (2)Chuck Ketchel Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Charles William Ketchel Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 17, 2023 through January 17, 2027.

Opt-Out Effective DateJanuary 17, 2023
Opt-Out In Effect ThroughJanuary 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Ketchel's NPI number?

The NPI number for Charles Ketchel is 1225478167. It was assigned to this individual provider in the NPPES registry on June 25, 2013. The provider is also known as Chuck Ketchel Lcsw.

Where is Charles Ketchel located?

Charles Ketchel practices at 28 Forest Ln, Faber, VA 22938. The listed phone number is (845) 758-2220.

What is Charles Ketchel's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Charles Ketchel enrolled in Medicare?

No. Charles Ketchel has opted out of Medicare through January 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Charles Ketchel was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.