Provider Demographics
NPI:1326091398
Name:CHAU, CLAUDIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:
Last Name:CHAU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55-59 CHRYSTIE ST
Mailing Address - Street 2:SUITE 407
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5042
Mailing Address - Country:US
Mailing Address - Phone:347-528-4774
Mailing Address - Fax:212-334-6816
Practice Address - Street 1:55-59 CHRYSTIE ST
Practice Address - Street 2:STE 407
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5055
Practice Address - Country:US
Practice Address - Phone:347-528-4774
Practice Address - Fax:212-334-6816
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074343104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02802106Medicaid
NY02802106Medicaid