Provider Demographics
NPI:1538667142
Name:ZENDARSKI, CHELSEA RAE (LCSW)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:RAE
Last Name:ZENDARSKI
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 1:6445 W MARYLAND AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-3738
Mailing Address - Country:US
Mailing Address - Phone:570-239-0451
Mailing Address - Fax:
Practice Address - Street 1:9802 W PEORIA AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6110
Practice Address - Country:US
Practice Address - Phone:623-986-8460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-22529101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor