Provider Demographics
NPI:1477222511
Name:BATES, CHELSEA ANN (MSW)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ANN
Last Name:BATES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 5TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1525
Mailing Address - Country:US
Mailing Address - Phone:727-600-1895
Mailing Address - Fax:
Practice Address - Street 1:550 N REO ST STE 300
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1037
Practice Address - Country:US
Practice Address - Phone:727-386-9255
Practice Address - Fax:813-448-6242
Is Sole Proprietor?:No
Enumeration Date:2021-09-11
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL155311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical