Provider Demographics
NPI:1316498835
Name:MERCADO, CHELSEA ANN (MSW)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:ANN
Last Name:MERCADO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 HICKORY ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-1726
Mailing Address - Country:US
Mailing Address - Phone:541-812-3303
Mailing Address - Fax:
Practice Address - Street 1:2396 NW KINGS BLVD
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3983
Practice Address - Country:US
Practice Address - Phone:541-224-1684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical