Provider Demographics
NPI:1023652963
Name:CHIARELLA, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:CHIARELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ALDEN CT
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-3405
Mailing Address - Country:US
Mailing Address - Phone:518-421-1205
Mailing Address - Fax:
Practice Address - Street 1:3 ALDEN CT
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-3405
Practice Address - Country:US
Practice Address - Phone:518-421-1205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker