Provider Demographics
NPI:1164921466
Name:BROSKY, CHELSEA I (CSW)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:BROSKY
Suffix:I
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8151 NEW LAGRANGE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4685
Mailing Address - Country:US
Mailing Address - Phone:502-400-8099
Mailing Address - Fax:502-473-1070
Practice Address - Street 1:18825 FROGTOWN CONNECTOR
Practice Address - Street 2:
Practice Address - City:RICHWOOD
Practice Address - State:KY
Practice Address - Zip Code:41091
Practice Address - Country:US
Practice Address - Phone:859-248-5340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2530031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical