Individual provider Active NPI

Chelsie Lokelani Diaz

  • Social Worker
  • Spokane, WA
National Provider Identifier
1346550704
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
235 E Rowan Ave Ste 107
Spokane, WA 99207-1240
Phone
(509) 252-6446
Fax
(509) 227-7070
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LW60747403 WA
School Social Worker 1041S0200X CG60143995 WA
Social Worker 104100000X Primary

Addresses

Primary practice location

235 E Rowan Ave Ste 107
Spokane, WA 99207-1240

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 252-6446

Other practice location 1

5633 N Lidgerwood St
Spokane, WA 99208-1224
Phone (509) 252-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170517001420 WA Practitioner - Clinical Social Worker 9537473970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services WashingtonGroup PAC ID 0345139929, 778 clinicians

Practice addresses (Care Compare)

212 E Central Ave
Suite 440
Spokane, WA 99208-6290
Phone (509) 252-9602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG60143995WAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington Multi-Specialty CurrentSince Apr 13, 2017 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 13, 2017 Accepting new patients
Providence Health & Services Washington Social Worker CurrentSince Nov 26, 2018 Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

322 W North River Dr
Spokane, WA 99201
Phone (509) 241-2575

235 E Rowan Ave
Ste 107
Spokane, WA 99207
Phone (509) 252-6446

212 E Central Ave
Ste 440
Spokane, WA 99208
Phone (509) 252-1977

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 3

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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1346550704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "509-252-6446",
            "fax_number": "509-227-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E ROWAN AVE STE 107",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071240",
            "telephone_number": "509-252-6446",
            "fax_number": "509-227-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5633 N Lidgerwood St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992081224",
            "country_code": "US",
            "telephone_number": "509-252-6446",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CHELSIE",
        "middle_name": "LOKELANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60747403",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "WA",
            "license": "CG60143995",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.