Bethany Rose Chandler, LCSW
Individual provider Active NPI Clinical Social Worker · Schuylerville, NY
NPI 1578073771 · NPPES record last updated Nov 7, 2025
Key facts
- NPI
- 1578073771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 090047 (NY)
- Practice address
- 12 Spring St Ste 203W
Schuylerville, NY 12871-1049 - Phone
- (518) 796-2361
- NPI assigned
- Oct 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211001001375 | NY | Order and Referring Only - Clinical Social Worker | 0547668766 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090047 | NY | MD | Clinical Social Worker |
| 101994 | NY | MD | Clinical Social Worker |
| 1422705201 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler and Chandler LCSW, PLLC | Clinical | Current |
Accepting new patients |
| Warren Washington Association for Mental Health, Inc | Past |
Accepting new patients |
Locations
12 Spring St
Ste 203W
Schuylerville, NY 12871
Phone (518) 531-6020
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/10d65d12-0ecf-4613-84df-07c7c4f09ca4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 101994 | NY | |
| School Social Worker | 1041S0200X | 1422705201 | NY | |
| Clinical Social Worker | 1041C0700X | 090047 | NY | Yes |
Addresses
Primary practice location
12 Spring St Ste 203W
Schuylerville, NY 12871-1049
Mailing address
14 Myers LN
Schuylerville, NY 12871-1161
Phone (518) 796-2361
Other providers in Schuylerville, NY
- Pamela Ann Bordas
- Alice Dillon Brown
- Maria Burke
- Burlington Laboratories of Saratoga County, LLC
- Chandler and Chandler LCSW, PLLC
- Sharon Cudahy
- Dental Excellence PC
- Brittany Denton
- Diane L. Desmond
- Eric Diem
All providers in Schuylerville, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.