Provider Demographics
NPI:1518471770
Name:ANDREWS, CHELSEA S (MS)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:S
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2634 SAINT CHRISTOPHER DR
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-4702
Mailing Address - Country:US
Mailing Address - Phone:215-254-4850
Mailing Address - Fax:
Practice Address - Street 1:1521 CONCORD PIKE STE 204
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3645
Practice Address - Country:US
Practice Address - Phone:302-655-2627
Practice Address - Fax:302-655-2613
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000859101YP2500X
PA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional