Provider Demographics
NPI:1760450076
Name:CHEW, LEE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LEE
Middle Name:
Last Name:CHEW
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:LEE
Other - Last Name:CHEW
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:400 W 43RD ST
Mailing Address - Street 2:APARTMENT 37A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-6302
Mailing Address - Country:US
Mailing Address - Phone:212-736-2937
Mailing Address - Fax:
Practice Address - Street 1:160 W END AVE
Practice Address - Street 2:SUITE 1N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5601
Practice Address - Country:US
Practice Address - Phone:212-736-2937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-11
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073289-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical