MEDICARE: CHANTELLE WILLIAMS LCSW, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1740118769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANTELLE WILLIAMS LCSW, PLLC

Provider Business Mailing Address
First Line	:	382 LEFFERTS AVE APT 6D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-4343
Country	:	US
Telephone Number	:	518-210-2008
Fax Number	:

Provider Business Practice Location Address
First Line	:	382 LEFFERTS AVE APT 6D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-4343
Country	:	US
Telephone Number	:	518-210-2008
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	CHANTELLE E. WILLIAMS
Credential	:	LCSW
Telephone Number	:	518-210-2008

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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