Active NPI
Chelsea Lynn Dishman, CSW
- Clinical Social Worker
- Somerset, KY
National Provider Identifier
1255726147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03262015
- Practice address
- 149 Enterprise Dr
Somerset, KY 42501-6155 - Phone
- (606) 679-6995
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 03262015 | KY | Primary |
Addresses
Primary practice location
149 Enterprise Dr
Somerset, KY 42501-6155
Mailing address
149 Enterprise Dr
Somerset, KY 42501-6155
Phone (606) 679-6995
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 |
|---|---|---|---|
| 03262015 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1255726147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 ENTERPRISE DR",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425016155",
"telephone_number": "606-679-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 ENTERPRISE DR",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425016155",
"telephone_number": "606-679-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISHMAN",
"first_name": "CHELSEA",
"middle_name": "LYNN",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "03262015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.