Active NPI
Dairlyn J Chelette, MSW LCSW
- Clinical Social Worker
- Brookhaven, GA
National Provider Identifier
1083784417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW000477
- Practice address
- 2801 Buford Hwy NE
Ste 508
Brookhaven, GA 30329-2137 - Phone
- (678) 397-1189
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW000477 | GA | Primary |
Addresses
Primary practice location
2801 Buford Hwy NE
Ste 508
Brookhaven, GA 30329-2137
Mailing address
2801 Buford Hwy NE
Ste 508
Brookhaven, GA 30329-2137
Phone (770) 446-5642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300868553 | Other | GA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2801 Buford Hwy NE
Suite 508
Brookhaven, GA 30329-2137
Phone (678) 397-1189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW000477 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dairlyn Chelette LCSW LLC | Current | Accepting new patients |
Locations
4530 S Berkeley Lake Rd
Ste B
Berkeley Lake, GA 30071
Phone (678) 662-0029
2801 Buford Hwy NE
Ste 508
Brookhaven, GA 30329
Phone (404) 626-4387
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.
-
- Community/Behavioral Health Agency
- Berkeley Lake, GA
- NPI 1215592118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643500800000",
"number": "1083784417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 BUFORD HWY NE",
"address_2": "STE 508",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303292137",
"telephone_number": "770-446-5642",
"fax_number": "770-446-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 BUFORD HWY NE",
"address_2": "STE 508",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303292137",
"telephone_number": "678-397-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELETTE",
"first_name": "DAIRLYN",
"middle_name": "J",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2022-01-30",
"certification_date": "2022-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW000477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "300868553",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.