Provider Demographics
NPI:1649424565
Name:CHEN, SI-WEI (LCSW-R)
Entity Type:Individual
Prefix:MISS
First Name:SI-WEI
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MISS
Other - First Name:SIL
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:169 WYTHE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-3102
Mailing Address - Country:US
Mailing Address - Phone:646-280-5274
Mailing Address - Fax:
Practice Address - Street 1:169 WYTHE AVE SUITE 106
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-3102
Practice Address - Country:US
Practice Address - Phone:646-280-5274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0796861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical