Provider Demographics
NPI:1871121152
Name:HALL, CHELSEA CLAIRE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:CLAIRE
Last Name:HALL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 LOETSCHER PL APT 302
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-8000
Mailing Address - Country:US
Mailing Address - Phone:480-203-9764
Mailing Address - Fax:
Practice Address - Street 1:201 LOETSCHER PL APT 302
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-8000
Practice Address - Country:US
Practice Address - Phone:480-203-9764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC060587001041C0700X
VA09060080621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical