Charles William Ketchel, LCSW-R is a
Social Worker - Clinical based in Faber, Virginia. Charles William Ketchel is licensed to practice in New York (license number R031920) and his current practice location is
28 Forest Ln, Faber, Virginia. He can be reached at his office (for appointments etc.) via phone at
(845) 758-2220.
NPI number for Charles William Ketchel is 1225478167 and his current mailing address is 28 Forest Ln, Faber, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225478167.
Healthcare Provider's Profile
Full Name | Charles William Ketchel |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 28 Forest Ln, Faber, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225478167
- Provider Enumeration Date: 06/25/2013
- Last Update Date: 04/06/2020
Medical Identifiers
Medical identifiers for Charles William Ketchel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225478167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 904011232 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | R031920 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles William Ketchel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charles William Ketchel, LCSW-R 28 Forest Ln, Faber, VA 22938-2328 Ph: (845) 758-2220 | Charles William Ketchel, LCSW-R 28 Forest Ln, Faber, VA 22938-2328 Ph: (845) 758-2220 |
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