Provider Demographics
NPI:1891022489
Name:CHATTIN, CARIN C (MA, LCSW)
Entity type:Individual
Prefix:MS
First Name:CARIN
Middle Name:C
Last Name:CHATTIN
Suffix:
Gender:F
Credentials:MA, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 E RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14622-2721
Mailing Address - Country:US
Mailing Address - Phone:585-339-1528
Mailing Address - Fax:585-339-1449
Practice Address - Street 1:2350 E RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622-2721
Practice Address - Country:US
Practice Address - Phone:585-339-1528
Practice Address - Fax:585-339-1449
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0721791041C0700X
1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool