Provider Demographics
NPI:1083641161
Name:CHANDLER-GUY, CINDY J (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:J
Last Name:CHANDLER-GUY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2112
Mailing Address - Country:US
Mailing Address - Phone:413-586-8565
Mailing Address - Fax:413-586-5554
Practice Address - Street 1:50 CENTER ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3025
Practice Address - Country:US
Practice Address - Phone:413-586-6223
Practice Address - Fax:413-586-5554
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1057341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP20902Medicare ID - Type Unspecified