Provider Demographics
NPI:1700438033
Name:TAPP, CHELSEA PATRICIA (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:PATRICIA
Last Name:TAPP
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:PATRICIA
Other - Last Name:FLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:238 N STEWART ST
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:IL
Mailing Address - Zip Code:61610-3226
Mailing Address - Country:US
Mailing Address - Phone:309-231-4543
Mailing Address - Fax:
Practice Address - Street 1:120 EASTGATE DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IL
Practice Address - Zip Code:61571-9236
Practice Address - Country:US
Practice Address - Phone:309-423-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0199641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical