Individual provider Active NPI

Alene Chelman, LICSW

  • Clinical Social Worker
  • Waconia, MN
National Provider Identifier
1154635092
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16949 Issued in MN
Practice address
540 E 1St St
Waconia, MN 55387-1600
Phone
(952) 442-4437
Fax
(952) 442-3084
NPI assigned
Aug 3, 2010
Last updated
Feb 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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 16949 MN Primary

Addresses

Primary practice location

540 E 1St St
Waconia, MN 55387-1600

Mailing address

540 E 1St St
Waconia, MN 55387-1600
Phone (952) 442-4437

Other practice location 1

13637 60th St SW
Cokato, MN 55321-4210
Phone (320) 286-2922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20121126000024 MN Practitioner - Clinical Social Worker 5496906463 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Minnesota Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eden Therapy Center, LLCGroup PAC ID 7810381985, 9 clinicians

Practice addresses (Care Compare)

800 Prairie Ctr Dr
Suite 210
Eden Prairie, MN 55344-7306
Phone (952) 234-9210

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
82.49
Promoting interoperability
100
Improvement activities
40
Cost
69.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16949MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Health CurrentSince Jan 23, 2023 Accepting new patients
Eden Therapy Center, LLC CurrentSince Jun 28, 2025 Accepting new patients
Equilibrium Brain Body Balance CurrentSince Jan 10, 2024 Accepting new patients
Youable Emotional Health Services PastSince Nov 25, 2024 Accepting new patients

Locations

1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358

12800 Whitewater Dr
Ste 100
Minnetonka, MN 55343
Phone (612) 700-0421

Organizations & group practices 4

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1154635092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E 1ST ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871600",
            "telephone_number": "952-442-4437",
            "fax_number": "952-442-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E 1ST ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871600",
            "telephone_number": "952-442-4437",
            "fax_number": "952-442-3084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13637 60th St SW",
            "address_purpose": "LOCATION",
            "city": "Cokato",
            "state": "MN",
            "postal_code": "553214210",
            "country_code": "US",
            "telephone_number": "320-286-2922",
            "fax_number": "320-286-2875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHELMAN",
        "first_name": "ALENE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.