Provider Demographics
NPI:1528636040
Name:STONER, CHELSEA JAN (LCSW)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:JAN
Last Name:STONER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 CLIFFORD ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-5921
Mailing Address - Country:US
Mailing Address - Phone:707-290-8785
Mailing Address - Fax:
Practice Address - Street 1:2571 NAPA VALLEY CORPORATE DRIVE
Practice Address - Street 2:BUILDING A
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558
Practice Address - Country:US
Practice Address - Phone:707-259-8151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA288361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical