Individual
CHELSI LINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LCSW
Contact information
Practice address
1300 MERCER AVE, DECATUR, IN 46733-2407
(260) 728-3906
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34009935A
IN
Other
Enumeration date
07/19/2022
Last updated
05/19/2025
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