Provider Demographics
NPI:1174984983
Name:SPENCER, CHELSEA PATRICIA (MSW, LISW-S)
Entity type:Individual
Prefix:MISS
First Name:CHELSEA
Middle Name:PATRICIA
Last Name:SPENCER
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 STOCKARD LOOP
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-8455
Mailing Address - Country:US
Mailing Address - Phone:740-503-8347
Mailing Address - Fax:
Practice Address - Street 1:150 E WILSON BRIDGE RD STE 220
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-6302
Practice Address - Country:US
Practice Address - Phone:614-682-9129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-08
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1700607-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical