Individual
CHANEL PEGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(646) 659-8941
Mailing address
423 E 23RD ST, NEW YORK, NY 10010-5011
(646) 659-8941
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100904
NY
104100000X
Social Worker
Primary
110005
NY
Other
Enumeration date
02/03/2023
Last updated
02/17/2026
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