Provider Demographics
NPI:1013664804
Name:PAVELL, CHEVY DEL RAYA (BSW)
Entity Type:Individual
Prefix:
First Name:CHEVY
Middle Name:DEL RAYA
Last Name:PAVELL
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67179 WARNOCK ST CLAIRSVILLE RD APT B
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-9446
Mailing Address - Country:US
Mailing Address - Phone:740-827-1061
Mailing Address - Fax:
Practice Address - Street 1:92 N 4TH ST STE A
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1600
Practice Address - Country:US
Practice Address - Phone:740-633-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator