Healthcare Provider Details

I. General information

NPI: 1144430562
Provider Name (Legal Business Name): MICHELLE ELAINE CHASE M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 BEASER AVE
ASHLAND WI
54806-1259
US

IV. Provider business mailing address

517 BEASER AVE
ASHLAND WI
54806-1259
US

V. Phone/Fax

Practice location:
  • Phone: 715-682-1160
  • Fax:
Mailing address:
  • Phone: 715-682-1160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4032-125
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: