Individual
CHRISTINE MARIE BRADLEY CHENITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
118 GLENLOCH DR, LANDENBERG, PA 19350
(484) 758-0139
Mailing address
873 E BALTIMORE PIKE # 1005, KENNETT SQUARE, PA 19348-1864
(484) 758-0139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18268
MD
1041C0700X
Clinical Social Worker
Q1-0001802
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18268
LICENSE
MD
01
—
CW021295
LICENSE - LCSW
PA
01
—
Q1-0001892
LICENSE - LCSW
DE
Enumeration date
02/18/2015
Last updated
02/10/2023
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