MEDICARE: CLAUDEL CHEVRY CSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CSW04357	RI

General Provider Information

NPI Number	:	1588161707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDEL CHEVRY CSW

Provider Business Mailing Address
First Line	:	1865 POST RD STE 105
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-1547
Country	:	US
Telephone Number	:	781-866-3191
Fax Number	:

Provider Business Practice Location Address
First Line	:	1865 POST RD STE 105
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-1547
Country	:	US
Telephone Number	:	781-866-3191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2018
Last Update Date	:	01/23/2026

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