Healthcare Provider Details

I. General information

NPI: 1750816112
Provider Name (Legal Business Name): CHELSI RIFFE LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E 2ND ST # 15
FREDERICK MD
21701-5302
US

IV. Provider business mailing address

25 E 2ND ST # 15
FREDERICK MD
21701-5302
US

V. Phone/Fax

Practice location:
  • Phone: 240-209-4829
  • Fax: 240-651-6886
Mailing address:
  • Phone: 240-209-4829
  • Fax: 240-651-6886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number22683
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: