Individual
CHELSEA GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
751 NE BLAKELY DR, ISSAQUAH, WA 98029-6201
(425) 313-7000
(425) 394-7908
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61512953
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314779
—
WA
Enumeration date
11/06/2024
Last updated
06/27/2025
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