Provider Demographics
NPI:1891259198
Name:CASEY, CHELSEA ELIZABETH WOLFF (LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ELIZABETH WOLFF
Last Name:CASEY
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 NE FAILING ST # 7
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-1157
Mailing Address - Country:US
Mailing Address - Phone:971-361-9035
Mailing Address - Fax:503-893-3037
Practice Address - Street 1:328 NE FAILING ST # 7
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-1157
Practice Address - Country:US
Practice Address - Phone:971-361-9035
Practice Address - Fax:503-893-3037
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5078106H00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist