Individual provider Active NPI

Chelsey Vincent, LMSW

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1013497809
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13739 Issued in LA
Practice address
856 Texas Ave
Shreveport, LA 71101-3400
Phone
(318) 429-6938
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13739 LA Primary

Addresses

Primary practice location

856 Texas Ave
Shreveport, LA 71101-3400

Mailing address

856 Texas Ave
Shreveport, LA 71101-3400
Phone (318) 429-6938

Other practice location 1

14323 US 84
Logansport, LA 71049
Phone (801) 556-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13739LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America of North Louisiana PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1013497809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 TEXAS AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013400",
            "telephone_number": "318-429-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 TEXAS AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013400",
            "telephone_number": "318-429-6938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14323 US 84",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "LA",
            "postal_code": "71049",
            "country_code": "US",
            "telephone_number": "801-556-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "CHELSEY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.