Provider Demographics
NPI:1487170395
Name:JAMISON-BROWN, CHANTEL NESHEA (LMSW-LP)
Entity type:Individual
Prefix:
First Name:CHANTEL
Middle Name:NESHEA
Last Name:JAMISON-BROWN
Suffix:
Gender:F
Credentials:LMSW-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011A WASHINGTON AVE
Mailing Address - Street 2:FEDCAP BEHAVIORAL SERVICES
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456
Mailing Address - Country:US
Mailing Address - Phone:347-664-3554
Mailing Address - Fax:
Practice Address - Street 1:1011A WASHINGTON AVE
Practice Address - Street 2:FEDCAP BEHAVIORAL SERVICES
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456
Practice Address - Country:US
Practice Address - Phone:347-664-3554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
P07433101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health