Provider Demographics
NPI:1972829299
Name:TEPEDINO, CHELSEA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:
Last Name:TEPEDINO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:FOOTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3560 CARDINAL POINT DR
Mailing Address - Street 2:#204
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-9235
Mailing Address - Country:US
Mailing Address - Phone:904-737-7242
Mailing Address - Fax:904-737-7254
Practice Address - Street 1:3560 CARDINAL POINT DR
Practice Address - Street 2:#204
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-9235
Practice Address - Country:US
Practice Address - Phone:904-737-7242
Practice Address - Fax:904-737-7254
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical