Chelsea A Suriel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20409 Issued in FL

Practice address

605 W Montrose St
Clermont, FL 34711-2119

Phone

(352) 365-2243

Fax

(352) 365-2243

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Florida Psychological Consultants IncGroup PAC ID 2668470543, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Florida Psychological Consultants Inc

  • Clinical Psychologist
  • Leesburg, FL
  • NPI 1053339986
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1467069518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W MONTROSE ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112119",
            "telephone_number": "352-365-2243",
            "fax_number": "352-365-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W MONTROSE ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112119",
            "telephone_number": "352-365-2243",
            "fax_number": "352-365-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIEL",
        "first_name": "CHELSEA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW14458",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Medical & Aesthetic Center Corporation
• Sunshine Oral Surgery II, P.a. (Four Corners Oral Surgery & Dental Implant Center)
• Sunshine Therapy Group, PA
• Supreme Nursing Services
• Supreme Senior Living, LLC
• Prakash Goutham Beleyur Suryanarayana, MD
• Jennifer Lynn Swain
• McKenzie Swane
• Deanna Swenson
• Ameena Syed, MD

• Clinical Social Worker in Clermont, FL
• Providers in Clermont, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.