Provider Demographics
NPI:1710785449
Name:JOHNSON, CHELSEY (MSW, LSW)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 TILTON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1233
Mailing Address - Country:US
Mailing Address - Phone:609-377-8074
Mailing Address - Fax:
Practice Address - Street 1:802 TILTON RD STE 103
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1233
Practice Address - Country:US
Practice Address - Phone:609-377-8074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07201700104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker