Active NPI
Chelsei Slocum, MSW, LCSW
- Clinical Social Worker
- Hammond, LA
National Provider Identifier
1053761205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12906
- Practice address
- 902 CM Fagan Drive
Suite B
Hammond, LA 70403 - Phone
- (985) 214-2829
- NPI assigned
- Jun 20, 2016
- Last updated
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | 12906 | LA | Primary |
Addresses
Primary practice location
902 CM Fagan Drive
Suite B
Hammond, LA 70403
Mailing address
30430 Dawson LN
Hammond, LA 70403-8443
Phone (985) 214-2829
Other practice location 1
104 Sassafras St
Amite, LA 70422
Phone (985) 247-2838
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12906 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart to Heart Counseling & Counseling | Clinical | Current | Accepting new patients |
| Premier Choice Counseling Service, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/3142/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hammond, LA
- NPI 1225529175
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, LA
- NPI 1750808267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1053761205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30430 DAWSON LN",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704038443",
"telephone_number": "985-214-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 CM FAGAN DRIVE",
"address_2": "SUITE B",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70403",
"telephone_number": "985-214-2829"
}
],
"practiceLocations": [
{
"address_1": "104 Sassafras St",
"address_purpose": "LOCATION",
"city": "Amite",
"state": "LA",
"postal_code": "70422",
"country_code": "US",
"telephone_number": "985-247-2838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLOCUM",
"first_name": "CHELSEI",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "12906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.