MEDICARE: CHELSEA ELLIOTT MSW

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	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1821956046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA ELLIOTT MSW

Provider Business Mailing Address
First Line	:	2905 CHATSWORTH WAY
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-4049
Country	:	US
Telephone Number	:	937-231-9324
Fax Number	:

Provider Business Practice Location Address
First Line	:	539 WINDSOR PARK DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-4112
Country	:	US
Telephone Number	:	937-723-8319
Fax Number	:

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

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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