Provider Demographics
NPI:1205501855
Name:DEUTSCH, CHELSEA EILEEN (LCSW)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:EILEEN
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:EILEEN
Other - Last Name:JANEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW
Mailing Address - Street 1:1900 SILVER LAKE RD NW STE 110
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-1789
Mailing Address - Country:US
Mailing Address - Phone:651-628-9566
Mailing Address - Fax:651-628-0411
Practice Address - Street 1:2501 HANLEY RD STE 201
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-8786
Practice Address - Country:US
Practice Address - Phone:534-544-5247
Practice Address - Fax:534-544-5248
Is Sole Proprietor?:No
Enumeration Date:2021-08-14
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11456-1231041C0700X
MN290321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical