Provider Demographics
NPI:1518490440
Name:CHALMERS, LATOYA A (LMSW)
Entity Type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:A
Last Name:CHALMERS
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 1:507 W 145TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-5101
Mailing Address - Country:US
Mailing Address - Phone:212-234-1660
Mailing Address - Fax:212-234-1664
Practice Address - Street 1:507 W 145TH ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-5101
Practice Address - Country:US
Practice Address - Phone:212-234-1660
Practice Address - Fax:212-234-1664
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-07
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY100044101YA0400X, 104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker