Julia Chislenko, LCSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085809 Issued in NY

Practice address

169 E 74TH St Ste 1R
New York, NY 10021-3222

Phone

(347) 570-0205

NPI assigned

Nov 6, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 11, 2022 through Jun 11, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1285063578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 E 74TH ST STE 1R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213222",
            "telephone_number": "347-570-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 E 74TH ST STE 1R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213222",
            "telephone_number": "347-570-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISLENKO",
        "first_name": "JULIA",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Wellnes of Fidi Nyc, PC
• Renu Chiruvolu, DO
• Karen Nicole Chis, LMSW
• Marcia Marie Chisholm
• Mary F Chisholm, MD
• Makini Chisolm-Straker, MD
• Douglas Chisolm, C.R.N.A.
• Terrence Ranier Chisolm, PHD
• Yeshwant Ramchandra Chitalkar, M.D.
• Sammy Chitayat, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.