Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Elyse Audrey Simone Chastain-Stultz, LICSW

Individual provider Social Worker · NPI 1750996716

MS. Elyse Audrey Simone Chastain-Stultz, LICSW is a Social Worker in Northampton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

50 Pleasant St
Northampton, MA 01060-4127
Phone: (413) 584-6855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 123290 (MA)
Social Worker Taxonomy 104100000X · Licence 223772 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 000123290 (MA)

Record details

NPI number1750996716
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 15, 2020
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021
Mailing address81 Depot Rd, Leverett, MA 01054-5404

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