Provider Demographics
NPI:1659686442
Name:MCADAMS, CHELSEA ROSEMARIE (BS)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:ROSEMARIE
Last Name:MCADAMS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:ROSEMARIE
Other - Last Name:SACKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6741 MURRAY AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1748
Mailing Address - Country:US
Mailing Address - Phone:954-812-4327
Mailing Address - Fax:
Practice Address - Street 1:6741 MURRAY AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1748
Practice Address - Country:US
Practice Address - Phone:954-812-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00018214Medicaid