Basic Information
| Provider Information | |||||||||
| NPI: | 1528636040 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STONER | ||||||||
| FirstName: | CHELSEA | ||||||||
| MiddleName: | JAN | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2717 CLIFFORD ST | ||||||||
| Address2: | |||||||||
| City: | NAPA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945585921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7072908785 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2571 NAPA VALLEY CORPORATE DRIVE | ||||||||
| Address2: | BUILDING A | ||||||||
| City: | NAPA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94558 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7072598151 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2021 | ||||||||
| LastUpdateDate: | 06/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 28836 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.