MS. KELLI M CHAN ICSW
NPI 1598056152
Social Worker - Clinical in Ridgeley, WV

Active since April 29, 2011
113 QUAIL RIDGE LN, RIDGELEY, WV 26753(301) 268-1699 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kelli M Chan Icsw NPPES

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

MS. KELLI M CHAN ICSW (NPI 1598056152) is an individual clinical provider in Ridgeley, West Virginia, licensed in West Virginia (DP00943767) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1598056152
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KELLI M CHANCredential: ICSW
Location Address113 QUAIL RIDGE LNRidgeley, WV 26753-5200
Mailing Address113 Quail Ridge LnRidgeley, WV 26753-5200 · (301) 268-1699
Sole ProprietorYes
Enumeration DateApril 29, 2011
NPI 1598056152 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 WV · DP00943767 Licensed in MD · 12834
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.
113 QUAIL RIDGE LN, Ridgeley, WV 26753

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 Kelli Chan's NPI number?

The NPI number for Kelli Chan is 1598056152. It was assigned to this individual provider in the NPPES registry on April 29, 2011.

Where is Kelli Chan located?

Kelli Chan practices at 113 Quail Ridge Ln, Ridgeley, WV 26753. The listed phone number is (301) 268-1699.

What is Kelli Chan's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelli Chan was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.