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

Wanda Chisolm, LMHC, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629422639

Wanda Chisolm, LMHC, CASAC is an Addiction (Substance Use Disorder) Counselor in East Islip, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

See every abbreviation used in this directory →

Practice location Address checks out

107 E Main St
East Islip, NY 11730
Phone: (631) 666-1615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 268 Delaware Ave, Bay Shore, NY 11706-3345 — (631) 328-1303

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 007206 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 23644 (NY)

Record details

NPI number1629422639
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC , CASAC
Sole proprietorYes
NPI enumeratedApril 15, 2016
Last updated in NPPESApril 16, 2019
Mailing addressPo Box 1062, Bay Shore, NY 11706-0534

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