Provider Demographics
NPI:1467187807
Name:CHANDLER, CHANDRADAI (MSW, LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:CHANDRADAI
Middle Name:
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15905 BROOKWAY DR STE 4101
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3240
Mailing Address - Country:US
Mailing Address - Phone:704-960-2632
Mailing Address - Fax:704-237-4779
Practice Address - Street 1:15905 BROOKWAY DR STE 4101
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3240
Practice Address - Country:US
Practice Address - Phone:704-960-2632
Practice Address - Fax:704-237-4779
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0167941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical