Active NPI
Chelsea Dynea Kolander
- Social Worker
- San Jose, CA
National Provider Identifier
1194568865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 118904
- Practice address
- 1671 The Alameda Ste 306
San Jose, CA 95126-2222 - Phone
- (408) 314-9230
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 118904 | CA | Primary |
Addresses
Primary practice location
1671 The Alameda Ste 306
San Jose, CA 95126-2222
Mailing address
PO Box 53464
San Jose, CA 95153-0464
Phone (408) 656-2788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118904 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1194568865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53464",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951530464",
"telephone_number": "408-656-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1671 THE ALAMEDA STE 306",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262222",
"telephone_number": "408-314-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLANDER",
"first_name": "CHELSEA",
"middle_name": "DYNEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "118904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.