Doctor Name: | MR. KEITH CHOBOT |
NPI Number: | 1376564328 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 64 |
Business Practice Address: | 208 East Cooper Ave Folly Beach, SC - 29439 |
Business Phone Number: | 8437897797 |
Business Fax Number: | |
Mailing Address: | Po Box 1151, FOLLY BEACH |
State: | SC |
Postal Code: | 294391151 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 64 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |