Provider Demographics
NPI:1609532480
Name:KADING, CHELSEA DIANNE (LCSW-S)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:DIANNE
Last Name:KADING
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:WALL
Mailing Address - State:TX
Mailing Address - Zip Code:76957-0373
Mailing Address - Country:US
Mailing Address - Phone:325-213-3716
Mailing Address - Fax:
Practice Address - Street 1:303 W HARRIS AVE STE 3H
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6377
Practice Address - Country:US
Practice Address - Phone:325-213-3716
Practice Address - Fax:325-202-3001
Is Sole Proprietor?:No
Enumeration Date:2021-11-16
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX579881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical