Provider Demographics
NPI:1144931221
Name:MCCANN, CHELSEA LYNN (LSW)
Entity type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:LYNN
Last Name:MCCANN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 S RIO GRANDE ST APT 8-111
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8275
Mailing Address - Country:US
Mailing Address - Phone:336-655-6857
Mailing Address - Fax:
Practice Address - Street 1:11750 W. 2ND PL
Practice Address - Street 2:MEDICAL PLAZA 1, SUITE 160
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-8022
Practice Address - Country:US
Practice Address - Phone:303-430-2746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009924514104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherPRIVATE PAY