Individual provider Active NPI

Chelsea Lynn Wade, DSW, LCSW

  • Clinical Social Worker
  • Hastings, PA
National Provider Identifier
1053082842
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021285 Issued in PA
Practice address
264 Haida Ave Ste B1
Hastings, PA 16646-5611
Phone
(814) 931-0417
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 CW021285 PA Primary

Addresses

Primary practice location

264 Haida Ave Ste B1
Hastings, PA 16646-5611

Mailing address

264 Haida Ave Ste B1
Hastings, PA 16646-5611
Phone (814) 931-0417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20211011003014 PA Practitioner - Clinical Social Worker 6608274329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prism Mental Health Solutions IncGroup PAC ID 1153860770, 2 clinicians

Practice addresses (Care Compare)

264 Haida Ave
Suite B1
Hastings, PA 16646-5611
Phone (814) 931-0417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW021285PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Mental Health Solutions Inc Clinical CurrentSince Aug 16, 2024 Accepting new patients

Locations

264 Haida Ave
Ste B1
Hastings, PA 16646
Phone (814) 515-3427

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1053082842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 HAIDA AVE STE B1",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166465611",
            "telephone_number": "814-931-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 HAIDA AVE STE B1",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166465611",
            "telephone_number": "814-931-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "CHELSEA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, PA

Sources for this page

Verify at the official NPI Registry.