Provider Demographics
NPI:1811614019
Name:LICHTMAN, CHAYA (MS ED,)
Entity type:Individual
Prefix:
First Name:CHAYA
Middle Name:
Last Name:LICHTMAN
Suffix:
Gender:F
Credentials:MS ED,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:298 WALLABOUT ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4990
Mailing Address - Country:US
Mailing Address - Phone:718-757-1069
Mailing Address - Fax:
Practice Address - Street 1:298 WALLABOUT ST APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-4990
Practice Address - Country:US
Practice Address - Phone:718-757-1069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker