National Provider Identifier

Kala Churchman

Kala Churchman is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 739-3581.

NPI 1861240962Elmira, NYClinical Social Worker

Profile Overview

NPI
1861240962
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 13, 2024
Last Updated
August 18, 2024

Practice Location

  • 459 Philo RD
  • Elmira, NY 14903-1051

Phone: (607) 739-3581

Mailing Address

  • 7965 State Route 36
  • Arkport, NY 14807-9789

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1861240962
Entity Type
Individual
Last Name
Churchman
First Name
Kala
Mailing Street Address
7965 State Route 36
Mailing City
Arkport
Mailing State
NY
Mailing ZIP Code
14807-9789
Mailing Country
US
Practice Street Address
459 Philo RD
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14903-1051
Practice Country
US
Practice Phone
(607) 739-3581
Enumeration Date
May 13, 2024
Last Updated
August 18, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 18, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)