Healthcare Provider Details

I. General information

NPI: 1528525177
Provider Name (Legal Business Name): CHELSEA MARIE DELARM LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2019
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 11TH ST NW
CEDAR RAPIDS IA
52405-3811
US

IV. Provider business mailing address

211 14TH ST SE APT 102
CEDAR RAPIDS IA
52403-4038
US

V. Phone/Fax

Practice location:
  • Phone: 319-398-3562
  • Fax: 319-398-3501
Mailing address:
  • Phone: 765-918-1759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number094769
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: