Provider Demographics
NPI:1326351610
Name:WILLIAMS, CHELSEA (PSYD)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91R MESEROLE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-2053
Mailing Address - Country:US
Mailing Address - Phone:646-779-7172
Mailing Address - Fax:646-779-7173
Practice Address - Street 1:91R MESEROLE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-2053
Practice Address - Country:US
Practice Address - Phone:646-779-7172
Practice Address - Fax:646-779-7173
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP112370103TC0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health