National Provider Identifier

Christal Chantell Dewberry

Christal Chantell Dewberry is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 491-6646.

NPI 1942172390Rochester, NYSocial Worker

Profile Overview

NPI
1942172390
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
September 23, 2025
Last Updated
September 23, 2025

Practice Location

  • 1400 Portland Ave Ste 54
  • Rochester, NY 14621-3014

Phone: (585) 491-6646

Mailing Address

  • 11 Susan Ln Apt 3
  • Rochester, NY 14616-4904

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1942172390
Entity Type
Individual
Last Name
Dewberry
First Name
Christal
Middle Name
Chantell
Mailing Street Address
11 Susan Ln Apt 3
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-4904
Mailing Country
US
Mailing Phone
(585) 491-6646
Practice Street Address
1400 Portland Ave Ste 54
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3014
Practice Country
US
Practice Phone
(585) 491-6646
Enumeration Date
September 23, 2025
Last Updated
September 23, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
September 23, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)