Individual provider Active NPI

Chelsea Lemke, LICSW, MLADC

  • Clinical Social Worker
  • Laconia, NH
National Provider Identifier
1063762664
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1901 Issued in NH
Practice address
40 Beacon St E
Laconia, NH 03246-3437
Phone
(603) 524-1100
NPI assigned
Sep 12, 2012
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0040 NH
Clinical Social Worker 1041C0700X 1901 NH Primary

Addresses

Primary practice location

40 Beacon St E
Laconia, NH 03246-3437

Mailing address

40 Beacon St E
Laconia, NH 03246-3437
Phone (603) 524-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0040NHMDAddiction (Substance Use Disorder) Counselor
1901NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Lakes Region Mental Health Center, Inc. CurrentSince Jan 25, 2016 Accepting new patients
Healthfirst Family Care Center, Inc. Past Accepting new patients

Locations

111 Church St
Laconia, NH 03246
Phone (603) 934-1464

40 Beacon St E
Laconia, NH 03246
Phone (603) 542-1100

85 Spring St
Laconia, NH 03246
Phone (603) 524-7402

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.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1063762664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEACON ST E",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463437",
            "telephone_number": "603-524-1100",
            "fax_number": "603-582-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEACON ST E",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463437",
            "telephone_number": "603-524-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "CHELSEA",
        "credential": "LICSW, MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0040",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.