Provider Demographics
NPI:1780106500
Name:MCFARLAND, CHARELL N (DSW, LICSW, LCSW-C)
Entity type:Individual
Prefix:DR
First Name:CHARELL
Middle Name:N
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:DSW, LICSW, LCSW-C
Other - Prefix:DR
Other - First Name:CHARELL
Other - Middle Name:N
Other - Last Name:MCKENZIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DSW, LICSW, LCSW-C
Mailing Address - Street 1:PO BOX 2432
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01202-2432
Mailing Address - Country:US
Mailing Address - Phone:833-623-9750
Mailing Address - Fax:413-216-2152
Practice Address - Street 1:75 S CHURCH ST STE 600
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6128
Practice Address - Country:US
Practice Address - Phone:413-679-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD185451041C0700X
MA1221951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110156862AMedicaid
MD547824300Medicaid