Chelesa Taylor, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

095378-01 Issued in NY

Practice address

30 Harriman Dr
Goshen, NY 10924-2410

Phone

(845) 291-2607

Fax

(845) 360-9058

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Chelesa Turnbull Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of Orange 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Orange

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Jervis, NY
  • NPI 1740227214

  NY

  Medicare reassignment Care Compare group NPD
• Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Poughkeepsie, NY
  • NPI 1316939457

  NY

  Medicare reassignment NPD
• County of Orange

  • Home Health Agency
  • Goshen, NY
  • NPI 1073016952
  Care Compare group NPD
• County of Orange

  • Physical Disabilities Residential Treatment Facility
  • Goshen, NY
  • NPI 1831147347
  Care Compare group
• County of Orange

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newburgh, NY
  • NPI 1295889806
  NPD

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1013567692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARRIMAN DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HARRIMAN DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242410",
            "telephone_number": "845-291-2607",
            "fax_number": "845-360-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHELESA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107573",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095378-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELESA",
            "last_name": "TURNBULL",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Michael Sullivan
• Sun River Health Inc
• Allison Sutherland, CRPA-P
• Mary Hennessey Sutherland, LCSW
• Lisa A Sweeney, OTR/L
• Elias Taylor
• Maura Tennant
• Stephanie Kay Terranera, M.S, CCC-SLP
• Brittany Terrill, DPT
• Teshonnell Inc.

• All providers in Goshen, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.