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NPI Code Detail

MEDICARE: CHELSEY DAVAL LCSW

MEDICARE: CHELSEY DAVAL LCSW
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 Worker149.030835IL

General Provider Information

NPI Number : 1881551570
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEY DAVAL LCSW
Provider Business Mailing Address
First Line : 47 W POLK ST STE 325
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2175
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 47 W POLK ST STE 325
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2175
Country : US
Telephone Number : 773-558-5221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/12/2026

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Directions to “ CHELSEY DAVAL LCSW” Practice Location

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