Provider Demographics
NPI:1376911347
Name:BUTAY, CHELSEA ELIZABETH DEAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:ELIZABETH DEAN
Last Name:BUTAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:ELIZABETH
Other - Last Name:DEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3300 FREMONT AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-2405
Mailing Address - Country:US
Mailing Address - Phone:612-588-9411
Mailing Address - Fax:612-522-6627
Practice Address - Street 1:3300 FREMONT AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412
Practice Address - Country:US
Practice Address - Phone:612-588-9411
Practice Address - Fax:612-522-6627
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK63571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical