Provider Demographics
NPI:1508123449
Name:CHAVEZ, DANIEL (LMSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:CHAVEZ
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 48TH STREET
Mailing Address - Street 2:MAIMONIDES DEPARTMENT OF PSYCHIATRY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219
Mailing Address - Country:US
Mailing Address - Phone:718-283-8189
Mailing Address - Fax:718-283-6161
Practice Address - Street 1:920 48TH ST
Practice Address - Street 2:MAIMONIDES DEPARTMENT OF PSYCHIATRY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2918
Practice Address - Country:US
Practice Address - Phone:718-283-8189
Practice Address - Fax:718-283-6161
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0854991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical