Healthcare Provider Details

I. General information

NPI: 1497303986
Provider Name (Legal Business Name): CHELSEA LITWILLER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2019
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 BELLE CHASE WAY
LANSING MI
48911-4252
US

IV. Provider business mailing address

321 E EDGEWOOD BLVD APT 1
LANSING MI
48911-5818
US

V. Phone/Fax

Practice location:
  • Phone: 517-744-7389
  • Fax:
Mailing address:
  • Phone: 989-763-0564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801115271
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: