Provider Demographics
NPI:1669289591
Name:CHADWICK, CLAIRE L (LPC)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:L
Last Name:CHADWICK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 S VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-1055
Mailing Address - Country:US
Mailing Address - Phone:814-572-6011
Mailing Address - Fax:
Practice Address - Street 1:7416 ROE AVE
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-2848
Practice Address - Country:US
Practice Address - Phone:913-278-0966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04926101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional