Healthcare Provider Details

I. General information

NPI: 1528981933
Provider Name (Legal Business Name): CHANTEL MCLEAN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 TILDEN ST
BRONX NY
10467-6013
US

IV. Provider business mailing address

400 E MOSHOLU PKWY S
BRONX NY
10458-1736
US

V. Phone/Fax

Practice location:
  • Phone: 718-751-5407
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number130590
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: