Chesnut, Walda C

Chesnut, Walda C is an individual health care provider with primary practice located at 2310 Nott Street East Suite 3, Niskayuna NY 12309. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chesnut, Walda C can be contacted via phone (518) 374-6263.

Contact Information

Primary practice address
2310 Nott Street East Suite 3 Niskayuna NY 12309
Fax: (518) 289-5225
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 069258-1 New York

Profile Details

NPI number 1639161060
LBN Legal business name Chesnut, Walda C
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Sep 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639161060 NPPES
New York MEDICAID 00347562

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