Individual provider Active NPI

Chelsea Warner, LLMSW

  • Clinical Social Worker
  • Pontiac, MI
National Provider Identifier
1316354525
Registry record updated Jul 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096898 Issued in MI
Practice address
1685 Baldwin Ave
Suite a
Pontiac, MI 48340-1115
Phone
(248) 706-3450
NPI assigned
Jul 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2014

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 6801096898 MI Primary

Addresses

Primary practice location

1685 Baldwin Ave
Suite a
Pontiac, MI 48340-1115

Mailing address

356 Pine Creek CT
Waterford, MI 48327-1586
Phone (248) 310-0946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160922000484 MI Practitioner - Clinical Social Worker 2567759376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405814400000",
    "number": "1316354525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 PINE CREEK CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271586",
            "telephone_number": "248-310-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 BALDWIN AVE",
            "address_2": "SUITE A",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401115",
            "telephone_number": "248-706-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "CHELSEA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-20",
        "last_updated": "2014-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.