Individual provider Active NPI

Chelsea T Luebbert

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1134770936
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21880 Issued in MD
Practice address
1600 Crain Hwy S Ste 503
Glen Burnie, MD 21061-6443
Phone
(443) 354-1200
Fax
(410) 553-0019
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 21880 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S Ste 503
Glen Burnie, MD 21061-6443

Mailing address

503 Marc Rd
Millersville, MD 21108-1529

Other practice location 1

503 Marc Rd
Millersville, MD 21108-1529
Phone (443) 618-7441

Other names 1

  • Chelsea Brauns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20201230000044 MD Practitioner - Clinical Social Worker 5193138691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Maryland Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upside Mental HealthGroup PAC ID 7719455500, 4 clinicians
My Mental Health LLCGroup PAC ID 1456584341, 10 clinicians

Practice addresses (Care Compare)

117 E Main St
Second Floor
Westminster, MD 21157-5012
Phone (844) 877-4334

1600 Crain Hwy S
Suite 608
Glen Burnie, MD 21061-6442
Phone (443) 354-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21880MDMDClinical Social Worker

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1134770936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MARC RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 503",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616443",
            "telephone_number": "443-354-1200",
            "fax_number": "410-553-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Marc Rd",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "MD",
            "postal_code": "211081529",
            "country_code": "US",
            "telephone_number": "443-618-7441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUEBBERT",
        "first_name": "CHELSEA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "BRAUNS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.