MEDICARE: MS. FRANCES MARIE CHELLI LCSW

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	104100000X	Social Worker	5899-S	NV
2	1041C0700X	Clinical Social Worker	7163-C	NV

General Provider Information

NPI Number	:	1841590262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FRANCES MARIE CHELLI LCSW

Provider Business Mailing Address
First Line	:	9592 GAINEY RANCH AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8038
Country	:	US
Telephone Number	:	702-575-1063
Fax Number	:

Provider Business Practice Location Address
First Line	:	9592 GAINEY RANCH AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8038
Country	:	US
Telephone Number	:	702-575-1063
Fax Number	:

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

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	04/12/2016

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