Provider Demographics
NPI:1720537756
Name:RADER, CHELSEA SW (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:SW
Last Name:RADER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:SCHMITZ
Other - Last Name:WESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:6072 STATE FARM RD
Mailing Address - Street 2:
Mailing Address - City:GUILDERLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12084
Mailing Address - Country:US
Mailing Address - Phone:518-456-6010
Mailing Address - Fax:
Practice Address - Street 1:6072 STATE FARM RD
Practice Address - Street 2:
Practice Address - City:GUILDERLAND
Practice Address - State:NY
Practice Address - Zip Code:12084-9532
Practice Address - Country:US
Practice Address - Phone:518-456-6010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0899191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical