| Doctor Name: | VICKI S CHURCHEY |
| NPI Number: | 1023105483 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 12641 |
| Business Practice Address: | 18714 N Village Hagerstown, MD - 217422454 |
| Business Phone Number: | 3017330330 |
| Business Fax Number: | 3017334038 |
| Mailing Address: | 13218 Brooklane Dr, HAGERSTOWN |
| State: | MD |
| Postal Code: | 217421435 |
| Phone Number: | 3017330330 |
| Fax Number: | 3017334038 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 01/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 12641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |