Provider Demographics
NPI:1417606021
Name:SINGH, CHYDAVI (LMSW)
Entity Type:Individual
Prefix:
First Name:CHYDAVI
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7822 89TH AVE
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-2410
Mailing Address - Country:US
Mailing Address - Phone:347-737-8157
Mailing Address - Fax:
Practice Address - Street 1:12034 QUEENS BLVD STE 300
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1230
Practice Address - Country:US
Practice Address - Phone:800-403-4360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
110653104100000X
NY110653104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker