Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sandra Davis Chisholm, LCSW

Individual provider Clinical Social Worker · NPI 1356538219

Sandra Davis Chisholm, LCSW is a Clinical Social Worker in Coopersburg, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6185 Whitetail Dr
Coopersburg, PA 18036-9581
Phone: (610) 745-9136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 807 W Broad St, Bethlehem, PA 18018-5223 — (610) 745-9136

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 077669 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 017925 (PA)

Record details

NPI number1356538219
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 25, 2007
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

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