Doctor Name: | MRS. KELLEY SUE CHANDLER-BADMAN |
NPI Number: | 1033495262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C007164 |
Business Practice Address: | 271a Callahan Koon Rd Spindale, NC - 281602207 |
Business Phone Number: | 8282876110 |
Business Fax Number: | |
Mailing Address: | Po Box 759194, BALTIMORE |
State: | MD |
Postal Code: | 212759194 |
Phone Number: | 8288596661 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2011 |
NPI Last Update Date: | 11/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C007164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |