Provider Demographics
NPI:1215286596
Name:WARKENTIN, CHELSIE DEEDEE (LCSW)
Entity type:Individual
Prefix:
First Name:CHELSIE
Middle Name:DEEDEE
Last Name:WARKENTIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHELSIE
Other - Middle Name:DEEDEE
Other - Last Name:SAMPAYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1930 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4759
Mailing Address - Country:US
Mailing Address - Phone:406-457-0000
Mailing Address - Fax:
Practice Address - Street 1:1930 9TH AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4759
Practice Address - Country:US
Practice Address - Phone:406-457-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-03
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW644351041C0700X
MTBBH-LCSW-LIC-408991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical