Chelsea Simkhada, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801110564 Issued in MI

Practice address

890 Washington Ave Ste 150
Holland, MI 49423-7702

Phone

(616) 594-6047

NPI assigned

Jun 21, 2018

Reactivated

Sep 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Chelsea Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1134613219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 S KINGWOOD CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241723",
            "telephone_number": "617-653-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 WASHINGTON AVE STE 150",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237702",
            "telephone_number": "616-594-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKHADA",
        "first_name": "CHELSEA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "deactivation_date": "2021-07-27",
        "reactivation_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801110564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "ANDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jolanna Elisebeth Siebert, BS
• Signature Surgical Arts and Medspa PLLC (Signature Surgical Arts and MedSpa)
• Wayne Russell Silver, MA, LLP, CAADC
• Joseph Anthony Silvestri II, MD
• Zoe Marie Simaz, DPM
• Nichole Simpson, LLMSW
• Sue-Ann Simpson
• Kevin M Simsick, MSN, APRN, FNP-C
• Jennifer Sipe, RBT
• Brindy Lynn Skinner, AT, ATC

• Clinical Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.