Provider Demographics
NPI:1962154922
Name:CHILES, VINCENT PETER (MSW)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:PETER
Last Name:CHILES
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 N LOS ROBLES CT
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-1532
Mailing Address - Country:US
Mailing Address - Phone:484-650-8610
Mailing Address - Fax:
Practice Address - Street 1:5 N LOS ROBLES CT
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-1532
Practice Address - Country:US
Practice Address - Phone:484-650-8610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0145521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical