Provider Demographics
NPI:1417271735
Name:DANN, CHELSEA M (BMS)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:M
Last Name:DANN
Suffix:
Gender:F
Credentials:BMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 WARD AVE
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-2249
Mailing Address - Country:US
Mailing Address - Phone:505-629-8200
Mailing Address - Fax:
Practice Address - Street 1:34 WARD AVE
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-2249
Practice Address - Country:US
Practice Address - Phone:505-629-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1213501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical