Provider Demographics
NPI:1205661493
Name:HILTON, CHELSEA WININGER (LMSW, PMH-C)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:WININGER
Last Name:HILTON
Suffix:
Gender:F
Credentials:LMSW, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 VIVIAN ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-2752
Mailing Address - Country:US
Mailing Address - Phone:423-863-6704
Mailing Address - Fax:
Practice Address - Street 1:4 WESTOWNE ST STE 400
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-3511
Practice Address - Country:US
Practice Address - Phone:423-863-6704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021029591104100000X
KS12214104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker