Provider Demographics
NPI:1982303699
Name:KRESSEL, CHLOE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:KRESSEL
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 1:400 E 70TH ST APT 404
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5389
Mailing Address - Country:US
Mailing Address - Phone:516-581-8121
Mailing Address - Fax:
Practice Address - Street 1:400 E 70TH ST APT 404
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5389
Practice Address - Country:US
Practice Address - Phone:516-581-8121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0940501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical