NPI 1114432234

Chanel Gray Mateo, LCSW

Practitioner Clinical Social Worker Usaf Academy, CO

Practice location

Address: 4102 Pinion Dr, Usaf Academy, CO 80840-2502
Phone: (719) 333-5270
Mailing address: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence Q1-0001795 (DE)

Other Social Worker providers in Colorado →

Registry record

NPI: 1114432234
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2017
Record last updated: 19 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.