Healthcare Provider Details

I. General information

NPI: 1497117709
Provider Name (Legal Business Name): CHELSEY ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 ELM ST
HALIFAX MA
02338-1216
US

IV. Provider business mailing address

116 ELM ST
HALIFAX MA
02338-1216
US

V. Phone/Fax

Practice location:
  • Phone: 781-539-9040
  • Fax:
Mailing address:
  • Phone: 781-539-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW125610
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: