Provider Demographics
NPI:1639825540
Name:HOPSON, CHELSEA ALEXANDRIA (LCSW)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ALEXANDRIA
Last Name:HOPSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4242 S CALUMET AVE APT 1S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-3296
Mailing Address - Country:US
Mailing Address - Phone:804-833-2877
Mailing Address - Fax:
Practice Address - Street 1:1010 JORIE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2240
Practice Address - Country:US
Practice Address - Phone:773-321-2757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0241961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical