Individual provider Active NPI

Chelsea Harris, LCSW

  • Clinical Social Worker
  • Lock Haven, PA
National Provider Identifier
1114497831
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023396 Issued in PA
Practice address
120 S Highland St
Lock Haven, PA 17745-2812
Phone
(570) 748-7173
Fax
(570) 748-5717
NPI assigned
Nov 26, 2018
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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 CW023396 PA Primary

Addresses

Primary practice location

120 S Highland St
Lock Haven, PA 17745-2812

Mailing address

821 Fritztown Rd
Sinking Spring, PA 19608-1804
Phone (610) 568-5514

Other practice location 1

1800 N 12th St
Reading, PA 19604-1545
Phone (610) 816-5728

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
I20230403001056 PA Practitioner - Clinical Social Worker 4486029576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 W Lancaster Ave
Suite 207
Shillington, PA 19607-1874
Phone (484) 898-5063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsea Harris Counseling LLC Clinical CurrentSince Jun 23, 2023 Accepting new patients
Keystone Counseling and Evaluation Services Clinical CurrentSince Apr 25, 2023 Accepting new patients
Haven Behavioral Services of Reading, LLC PastSince Mar 21, 2023 Accepting new patients

Locations

120 S Highland St
Lock Haven, PA 17745
Phone (570) 660-7588

122 W Lancaster Ave
Ste 207
Shillington, PA 19607
Phone (484) 898-5063

Organizations & group practices 3

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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1114497831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 FRITZTOWN RD",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081804",
            "telephone_number": "610-568-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S HIGHLAND ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452812",
            "telephone_number": "570-748-7173",
            "fax_number": "570-748-5717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196041545",
            "country_code": "US",
            "telephone_number": "610-816-5728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHELSEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

Verify at the official NPI Registry.