Provider Demographics
NPI:1891845269
Name:MCEWEN, CHASE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHASE
Middle Name:
Last Name:MCEWEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5327 COMMERCIAL WAY C115
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606
Mailing Address - Country:US
Mailing Address - Phone:352-597-5497
Mailing Address - Fax:352-597-1662
Practice Address - Street 1:5327 COMMERCIAL WAY C115
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606
Practice Address - Country:US
Practice Address - Phone:352-597-5497
Practice Address - Fax:352-597-1662
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW1927101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ2528AMedicare ID - Type Unspecified