Individual provider Active NPI

Chelsa Watkins-Jordan, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1295401552
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007698 Issued in GA
Practice address
315 Cascade Rise CT SW
Atlanta, GA 30331-8358
Phone
(404) 974-9720
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 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 CSW007698 GA Primary

Addresses

Primary practice location

315 Cascade Rise CT SW
Atlanta, GA 30331-8358

Mailing address

315 Cascade Rise CT SW
Atlanta, GA 30331-8358
Phone (770) 335-5556

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@askchelsa.com Direct

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

LicenseStateTypeSpecialty
CSW007698GAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1295401552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CASCADE RISE CT SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318358",
            "telephone_number": "770-335-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CASCADE RISE CT SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318358",
            "telephone_number": "404-974-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS-JORDAN",
        "first_name": "CHELSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@askchelsa.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "315 Cascade Rise Ct SW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303318358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.