MEDICARE: CHELSEA HASKINS 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
1	1041C0700X	Clinical Social Worker	10313	TN

General Provider Information

NPI Number	:	1386521730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA HASKINS LMSW

Provider Business Mailing Address
First Line	:	4800 N SCOTTSDALE RD STE 2500
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7630
Country	:	US
Telephone Number	:	865-588-3173
Fax Number	:

Provider Business Practice Location Address
First Line	:	4425 SHARON RD UNIT M213
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4485
Country	:	US
Telephone Number	:	407-970-6790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	06/08/2026

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