Individual provider Active NPI

Chelsea Landwehr, LCSW

  • Clinical Social Worker
  • Long Beach, MS
National Provider Identifier
1104570977
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C11574 Issued in MS
Practice address
5095 Beatline Rd
Long Beach, MS 39560-3814
Phone
(228) 223-2205
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M9866 MS
Clinical Social Worker 1041C0700X C11574 MS Primary

Addresses

Primary practice location

5095 Beatline Rd
Long Beach, MS 39560-3814

Mailing address

5095 Beatline Rd
Long Beach, MS 39560-3814
Phone (228) 223-2205

Other identifiers 1

IdentifierTypeStateIssuer
200021588MedicaidMS

Other names 1

  • Chelsea Porter Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20250929001938 MS Practitioner - Clinical Social Worker 9133625247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Psychotherapy LLCGroup PAC ID 9234402967, 2 clinicians

Practice addresses (Care Compare)

5095 Beatline Rd
Long Beach, MS 39560-3814
Phone (228) 223-2205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M9866MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Psychotherapy LLC Clinical CurrentSince Sep 16, 2025 Accepting new patients
Psycamore, LLC PastSince Feb 1, 2022 Accepting new patients

Locations

5095 Beatline Rd
Long Beach, MS 39560
Phone (228) 223-2205

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1104570977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 BEATLINE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603814",
            "telephone_number": "228-223-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 BEATLINE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603814",
            "telephone_number": "228-223-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDWEHR",
        "first_name": "CHELSEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M9866",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200021588",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "PORTER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Long Beach, MS

Sources for this page

Verify at the official NPI Registry.