National Provider Identifier
Chelsie Maynard, MDIV, LICSW/LCSW
Chelsie Maynard, MDIV, LICSW/LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 425-0050.
Profile Overview
- NPI
- 1689076044
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 17, 2014
- Last Updated
- October 04, 2023
Practice Location
- 304 Hoffman St
- Elmira, NY 14905-2263
Phone: (607) 425-0050
Mailing Address
- 729 W 1St St
- Elmira, NY 14905-2210
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1689076044
- Entity Type
- Individual
- Last Name
- Maynard
- First Name
- Chelsie
- Credential
- MDIV, LICSW/LCSW
- Mailing Street Address
- 729 W 1St St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-2210
- Mailing Country
- US
- Mailing Phone
- (607) 425-0050
- Practice Street Address
- 304 Hoffman St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-2263
- Practice Country
- US
- Practice Phone
- (607) 425-0050
- Enumeration Date
- September 17, 2014
- Last Updated
- October 04, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 04, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)