Healthcare Provider Details

I. General information

NPI: 1003066945
Provider Name (Legal Business Name): CHELSEA GAMBLES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHELSEA KUNZ LCSW

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 N MAIN ST STE 209
CEDAR CITY UT
84721-7808
US

IV. Provider business mailing address

1760 N MAIN ST STE 209
CEDAR CITY UT
84721-7808
US

V. Phone/Fax

Practice location:
  • Phone: 435-477-2280
  • Fax:
Mailing address:
  • Phone: 435-477-2280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number70204683501
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number70204683502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: