Provider Demographics
NPI:1720421480
Name:SHENKER, CHELSEA ROSE FUNK (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:ROSE FUNK
Last Name:SHENKER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:ROSE
Other - Last Name:FUNK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:118 N YELLOWSTONE ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-2632
Mailing Address - Country:US
Mailing Address - Phone:857-998-8575
Mailing Address - Fax:
Practice Address - Street 1:3400 WAGONWHEEL RD
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-8024
Practice Address - Country:US
Practice Address - Phone:857-998-8575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-12
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1167641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical