Individual provider Active NPI

Chelsey D Carter

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1396471298
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56737 Issued in TX
Practice address
12840 Homestretch Dr
Fort Worth, TX 76244-4215
Phone
(146) 943-8421
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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 56737 TX Primary

Addresses

Primary practice location

12840 Homestretch Dr
Fort Worth, TX 76244-4215

Mailing address

12840 Homestretch Dr
Fort Worth, TX 76244-4215
Phone (469) 438-4210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220819000040 TX Practitioner - Clinical Social Worker 8921481219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Specialists Medical Group (de), PAGroup PAC ID 7618397464, 34 clinicians

Practice addresses (Care Compare)

101 Southwestern Blvd
Suite 290
Sugar Land, TX 77478-3548
Phone (877) 583-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56737TXMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Specialists (de), P.a. Clinical CurrentSince Aug 1, 2022 Accepting new patients

Locations

101 Merritt 7
Ste 3
Norwalk, CT 06851
Phone (203) 904-2031

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

424 Church St
Ste 2000
Nashville, TN 37219
Phone (615) 326-1825

101 Southwestern Blvd
Ste 101
Sugar Land, TX 77478

101 Southwestern Blvd
Ste 290
Sugar Land, TX 77478
Phone (877) 583-5633

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1396471298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 HOMESTRETCH DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444215",
            "telephone_number": "469-438-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 HOMESTRETCH DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444215",
            "telephone_number": "146-943-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHELSEY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.