Mariel Chu, LCSW
Individual provider Active NPI Clinical Social Worker · Voorheesville, NY
NPI 1649712902 · NPPES record last updated Nov 17, 2016
Key facts
- NPI
- 1649712902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 082315 (NY)
- Practice address
- 432 New Salem Rd
Voorheesville, NY 12186-4825 - Phone
- (518) 765-3314
- Fax
- (518) 765-5547
- NPI assigned
- Nov 17, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082315 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 082315 | NY | Yes |
Addresses
Primary practice location
432 New Salem Rd
Voorheesville, NY 12186-4825
Mailing address
3 Fordham CT
Albany, NY 12209-1109
Phone (845) 495-4761
Other providers in Voorheesville, NY
- Roberta Basile
- Joseph Michael Bied
- Christopher Bradley
- Sally Jean Bunk
- Nancy Lee Burke
- Norman Ellenbogen
- Kristen L Geist
- Valerie Glover
- Laurie Govel
- Lynn Marie Heffern
All providers in Voorheesville, 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 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.