Individual provider · Type 1 NPI

Panchalay Chalermkraivuth, LMSW

Clinical Social Worker · New York, NY

NPI number 1497630123 Active

Practice location

80 5th Ave
New York, NY 10011-8002

Call (646) 460-0097 Map

Mailing address

16 Wilson Ave Apt 2R
Brooklyn, NY 11237-1926

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X128186 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1497630123

Panchalay Chalermkraivuth, LMSW's National Provider Identifier is 1497630123, issued on Aug 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Aug 11, 2025.