Individual provider Active NPI

Chelsea Horrocks Jennings, LCSW-C

  • Clinical Social Worker
  • Chestertown, MD
National Provider Identifier
1437411006
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19033 Issued in MD
Practice address
400 S Cross St Ste 1B
Chestertown, MD 21620-4705
Phone
(443) 924-6297
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 19033 MD Primary

Addresses

Primary practice location

400 S Cross St Ste 1B
Chestertown, MD 21620-4705

Mailing address

407 Cannon St
Chestertown, MD 21620-1329
Phone (443) 480-4183

Other practice location 1

12145 Elm St
Princess Anne, MD 21853-1358
Phone (410) 651-2204

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Other names 1

  • Chelsea Lee Horrocks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160301001754 MD Practitioner - Clinical Social Worker 4385949213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 S Cross St
Suite 1B
Chestertown, MD 21620-4705
Phone (443) 924-6297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19033MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chester River Behavioral Health, LLC Clinical CurrentSince Aug 15, 2017 Accepting new patients

Locations

952 Washington Ave
Chestertown, MD 21620
Phone (410) 778-0003

Organizations & group practices 2

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1437411006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CANNON ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201329",
            "telephone_number": "443-480-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CROSS ST STE 1B",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216204705",
            "telephone_number": "443-924-6297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12145 Elm St",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218531358",
            "country_code": "US",
            "telephone_number": "410-651-2204",
            "fax_number": "410-651-0790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "CHELSEA",
        "middle_name": "HORROCKS",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2021-04-02",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "HORROCKS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.