Provider Demographics
NPI:1922273630
Name:BARLOW, CHELSEA ALLISON (LCSW)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ALLISON
Last Name:BARLOW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:ALLISON
Other - Last Name:CROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2745 W 1475 N
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-3471
Mailing Address - Country:US
Mailing Address - Phone:801-540-9882
Mailing Address - Fax:801-779-7808
Practice Address - Street 1:2317 N HILL FIELD RD
Practice Address - Street 2:SUITE 103
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-4781
Practice Address - Country:US
Practice Address - Phone:801-525-4645
Practice Address - Fax:801-779-7808
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6456168-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical