Chelsea Rodriguez
Individual provider Active NPI Clinical Social Worker · Grand Blanc, MI
NPI 1225795693 · NPPES record last updated Nov 20, 2021
Key facts
- NPI
- 1225795693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 10683 S Saginaw St
Grand Blanc, MI 48439-8127 - Phone
- (810) 771-4074
- NPI assigned
- Nov 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Creekside Counseling Group LLC
Practice addresses (Care Compare)
7227 Fenton Rd
Grand Blanc, MI 48439-8961
Phone (810) 771-4074
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250818000388 | MI | Practitioner - Clinical Social Worker | 8628577616 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekside Counseling Group LLC | Clinical | Current |
Accepting new patients |
Locations
10801 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 771-4074
7227 Fenton Rd
Grand Blanc, MI 48439
Phone (810) 694-2770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
10683 S Saginaw St
Grand Blanc, MI 48439-8127
Mailing address
7196 Linden Rd
Swartz Creek, MI 48473-9417
Phone (248) 931-3206
Other providers in Grand Blanc, MI
- Meggan Robinson
- Phillip Lorane Robinson
- Jeff Robson
- Hayden William Rock
- Alexander Jose Rodriguez
- James D Rogers
- Jeffrey Scott Rohr
- Michael Rometty
- Claudia Romo
- Richard Roodbergen
All providers in Grand Blanc, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.