JARED WILLIAM CHANTRILL LCSW NPI 1730658345

NPI Information

Jared William Chantrill, LCSW is a healthcare provider in Saint Cloud, FL. Jared William Chantrill, LCSW NPI is 1730658345. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1320 LOUISIANA AVE STE A
SAINT CLOUD, FL
ZIP 34769-116
Phone: (407) 593-0122
Fax: (407) 593-0081

The NPI 1730658345 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/13/2018 and was last updated on 8/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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