Provider Demographics
NPI:1548640972
Name:TSCHOSIK, CHELSEY (LICSW)
Entity type:Individual
Prefix:MISS
First Name:CHELSEY
Middle Name:
Last Name:TSCHOSIK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:
Other - Last Name:HENDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5114 POINT FOSDICK DR
Mailing Address - Street 2:STE F PMB 1071
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335
Mailing Address - Country:US
Mailing Address - Phone:253-271-4195
Mailing Address - Fax:
Practice Address - Street 1:5114 POINT FOSDICK DR
Practice Address - Street 2:STE F PMB 1071
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335
Practice Address - Country:US
Practice Address - Phone:253-271-4195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WALW615254221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor