Provider Demographics
NPI:1255073474
Name:HAWLEY, CHELSEA (MS)
Entity type:Individual
Prefix:MISS
First Name:CHELSEA
Middle Name:
Last Name:HAWLEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 W BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-1772
Mailing Address - Country:US
Mailing Address - Phone:518-943-9592
Mailing Address - Fax:
Practice Address - Street 1:311 W BRIDGE ST
Practice Address - Street 2:
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-1772
Practice Address - Country:US
Practice Address - Phone:518-943-9592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical