National Provider Identifier
Chantel Melanie Upson Lockwood, LCSW
Chantel Melanie Upson Lockwood, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Wolcott, NY and a listed phone number of (315) 923-4033.
Profile Overview
- NPI
- 1740797653
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 02, 2018
- Last Updated
- November 08, 2019
Practice Location
- 12044 E. Main St.
- Wolcott, NY 14590
Phone: (315) 923-4033
Mailing Address
- 167 S 4Th St
- Fulton, NY 13069-1859
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1740797653
- Entity Type
- Individual
- Last Name
- Lockwood
- First Name
- Chantel
- Middle Name
- Melanie Upson
- Name Prefix
- Mrs.
- Credential
- LCSW
- Provider Other Last Name
- Upson
- Provider Other First Name
- Chantel
- Provider Other Middle Name
- Melanie
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 167 S 4Th St
- Mailing City
- Fulton
- Mailing State
- NY
- Mailing ZIP Code
- 13069-1859
- Mailing Country
- US
- Practice Street Address
- 12044 E. Main St.
- Practice City
- Wolcott
- Practice State
- NY
- Practice ZIP Code
- 14590
- Practice Country
- US
- Practice Phone
- (315) 923-4033
- Enumeration Date
- January 02, 2018
- Last Updated
- November 08, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)