Individual provider Active NPI

Chelsea Elizabeth Dean Butay, LCSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1376911347
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6357 Issued in OK
Practice address
3300 Fremont Ave N
Minneapolis, MN 55412
Phone
(612) 588-9411
Fax
(612) 522-6627
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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 6357 OK Primary

Addresses

Primary practice location

3300 Fremont Ave N
Minneapolis, MN 55412

Mailing address

3300 Fremont Ave N
Minneapolis, MN 55412-2405
Phone (612) 588-9411

Other practice location 1

3300 Fremont Ave N
Minneapolis, MN 55412
Phone (612) 588-9411

Other names 1

  • Ms. Chelsea Elizabeth Dean Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20190610002548 MN Practitioner - Clinical Social Worker 6103159975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthsourceGroup PAC ID 9133199953, 16 clinicians

Practice addresses (Care Compare)

2301 Central Ave NE
Minneapolis, MN 55418-3709

2301 Central Neave
Minneapolis, MN 55418-3709
Phone (612) 588-9411

3300 Fremont Ave N
Minneapolis, MN 55412-2405
Phone (612) 588-9411

342 13TH Neave
Minneapolis, MN 55413-1265
Phone (612) 362-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthsource CurrentSince Jun 1, 2019 Accepting new patients
Neighborhood Healthsource CurrentSince Jun 1, 2019 Accepting new patients
Neighborhood Healthsource Current Accepting new patients

Locations

342 13th Ave NE
Minneapolis, MN 55413
Phone (612) 362-4111

3300 Fremont Ave N
Minneapolis, MN 55412
Phone (612) 588-9411

2301 Central Ave NE
Minneapolis, MN 55418
Phone (612) 588-9411

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1376911347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 FREMONT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122405",
            "telephone_number": "612-588-9411",
            "fax_number": "612-522-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 FREMONT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55412",
            "telephone_number": "612-588-9411",
            "fax_number": "612-522-6627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Fremont Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55412",
            "country_code": "US",
            "telephone_number": "612-588-9411",
            "fax_number": "612-522-6627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTAY",
        "first_name": "CHELSEA",
        "middle_name": "ELIZABETH DEAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "DEAN",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.