Individual provider Active NPI

Chelsey Leighann Edwards, LMSW

  • Clinical Social Worker
  • Lapeer, MI
National Provider Identifier
1437412673
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094418 Issued in MI
Practice address
350 N Court St Ste 208
Lapeer, MI 48446-2263
Phone
(810) 441-2047
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801094418 MI
Clinical Social Worker 1041C0700X 6801094418 MI Primary

Addresses

Primary practice location

350 N Court St Ste 208
Lapeer, MI 48446-2263

Mailing address

350 N Court St Ste 208
Lapeer, MI 48446-2263
Phone (810) 441-2047

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
I20160418001847 MI Practitioner - Clinical Social Worker 8123326550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

350 N Court St
Suite 208
Lapeer, MI 48446-2263
Phone (810) 441-2047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094418MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intimate Wellness LLC Clinical CurrentSince Sep 13, 2018 Accepting new patients
Professional Counseling Center,P.C. PastSince Aug 11, 2024 Accepting new patients

Locations

350 N Court St
Ste 208
Lapeer, MI 48446
Phone (810) 272-9036

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1437412673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N COURT ST STE 208",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462263",
            "telephone_number": "810-441-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N COURT ST STE 208",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462263",
            "telephone_number": "810-441-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHELSEY",
        "middle_name": "LEIGHANN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094418",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.