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NPI 1437665155

NPI 1437665155 : CHELSEA EARNHEART LSW : PICKERINGTON, OH

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General NPI Number Information
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    NPI Number           |    1437665155
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    Entity Type          |    Individual 
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    Provider Name        |    CHELSEA EARNHEART LSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2017
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    Last Update Date     |    09/26/2023
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Provider Practice Location Address
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    Address Line         |    9213 CARRIAGE LN 
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    City                 |    PICKERINGTON
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    State                |    OH
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    Zip                  |    43147-8856
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    Country              |    US
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    Telephone            |    614-767-9702
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9213 CARRIAGE LN 
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    City                 |    PICKERINGTON
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    State                |    OH
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    Zip                  |    43147-8856
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    Country              |    US
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    Telephone            |    614-767-9702
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    I.2304607
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    License Number State |    OH
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