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NPI Code Detail

MEDICARE: CHELSEA CONROY LMSW

MEDICARE: CHELSEA CONROY LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801099601MI

General Provider Information

NPI Number : 1114376316
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA CONROY LMSW
Provider Business Mailing Address
First Line : 6549 TOWN CENTER DR
Second Line : SUITE A
City : CLARKSTON
State : MI
Zip : 48346-4824
Country : US
Telephone Number : 248-620-6400
Fax Number : 248-620-6405
Provider Business Practice Location Address
First Line : 23100 JEFFERSON AVE
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48080-2756
Country : US
Telephone Number : 586-335-2006
Fax Number : 586-279-3886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2016
Last Update Date : 06/30/2025

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Directions to “ CHELSEA CONROY LMSW” Practice Location

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