Provider Demographics
NPI:1144902198
Name:MARCIA P CHICHESTER, LCSW, P.L.L.C.
Entity type:Organization
Organization Name:MARCIA P CHICHESTER, LCSW, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:PAMELA
Authorized Official - Last Name:CHICHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R; EDD
Authorized Official - Phone:516-522-9237
Mailing Address - Street 1:678 NORTHERN PKWY
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-3522
Mailing Address - Country:US
Mailing Address - Phone:516-522-9237
Mailing Address - Fax:
Practice Address - Street 1:28 E OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4292
Practice Address - Country:US
Practice Address - Phone:516-522-9237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty