Healthcare Provider Details
I. General information
NPI: 1750744512
Provider Name (Legal Business Name): CHELSEA MARIE DEVINE-NAFZIGER MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/30/2016
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
405 PUBLIC SQ STE 255
TROY OH
45373-3298
US
IV. Provider business mailing address
5140 EASTLAND DR
NEW CARLISLE OH
45344-8611
US
V. Phone/Fax
- Phone: 419-769-2403
- Fax:
- Phone: 419-769-2403
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | I.1901926 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | SW129491 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: