Provider Demographics
NPI:1821796129
Name:KELMAN, CHANA (LCSW)
Entity Type:Individual
Prefix:
First Name:CHANA
Middle Name:
Last Name:KELMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 RYDER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4307
Mailing Address - Country:US
Mailing Address - Phone:718-252-1823
Mailing Address - Fax:
Practice Address - Street 1:1122 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5844
Practice Address - Country:US
Practice Address - Phone:718-942-3866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical