Active NPIIndividual providerSole proprietor

Chann Damon, LICSW

Social Worker, Clinical in Leeds, Massachusetts

NPI Number1265702112
Practice location
421 N Main St, Leeds, MA 01053-9764
Fax
—
Last updated
July 6, 2012

Chann Damon is a Social Worker, Clinical based in Leeds, MA. Chann Damon practices in Leeds, MA and has the professional credentials of LICSW. The NPI Number for Chann Damon is 1265702112 and holds a License No. 1031019 (MA). The current practice location address for Chann Damon is 421 N Main St, Leeds, MA 01053-9764 and can be reached out via phone at 413-584-4040.

Provider Profile Details

NPI Number
1265702112
Provider Name
Chann Damon
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
421 N Main St, Leeds, MA 01053-9764
Phone Number
413-584-4040
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 10, 2012
Last Update Date
July 6, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
421 N Main St
Leeds, MA 01053-9764
City
Leeds
Zip
01053-9764
Phone Number
413-584-4040
Leeds, MA 01053Get directions →

Provider Business Mailing Address Details

Address
14 Bayberry Dr
Easthampton, MA 01027-2751
City
Easthampton
State
MA
Zip
01027-2751
Phone Number
413-527-0902

License Information

License Number
1031019
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Chann Damon, LICSW?

The NPI number of Chann Damon, LICSW is 1265702112. It was assigned on January 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Chann Damon, LICSW?

Chann Damon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1031019.

Where does Chann Damon, LICSW practice?

The practice location is 421 N Main St, Leeds, MA 01053-9764. The office can be reached at 413-584-4040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265702112 directly on the NPPES registry website.

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