Provider Demographics
NPI:1700078219
Name:KEMPER, CHELSEA HOPE-FREDERICK (LMSW)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:HOPE-FREDERICK
Last Name:KEMPER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4980 KEYWORTH DR
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:MI
Mailing Address - Zip Code:48049-3315
Mailing Address - Country:US
Mailing Address - Phone:810-841-5514
Mailing Address - Fax:
Practice Address - Street 1:5331 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9520
Practice Address - Country:US
Practice Address - Phone:810-841-5514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010893171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical