Provider Demographics
NPI:1114692399
Name:BEESING, CHELSEA (LCSW)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:BEESING
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 1:2585 LYNWOOD PL
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953-4163
Mailing Address - Country:US
Mailing Address - Phone:904-234-5790
Mailing Address - Fax:
Practice Address - Street 1:270 N SYKES CREEK PKWY STE 106
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-3494
Practice Address - Country:US
Practice Address - Phone:321-323-9069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL185631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty