Individual
KATHLEEN GRAY CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
65 PROFESSIONAL PL STE AND103, BRIDGEPORT, WV 26330-0258
(304) 848-5770
(304) 848-0890
Mailing address
65 PROFESSIONAL PL STE AND103, BRIDGEPORT, WV 26330-0258
(304) 848-5770
(304) 848-0890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00945187
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW061714331
SOCIAL WORK LICENSE
WV
Enumeration date
05/15/2019
Last updated
11/19/2025
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