Individual provider Active NPI

Chelsea Chantrez Smith, BSW

  • Social Worker
  • Shreveport, LA
National Provider Identifier
1588384598
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2133 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5314
Phone
(318) 221-2828
NPI assigned
Aug 30, 2022
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 LA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2133 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5314

Mailing address

1618 Main St
Haynesville, LA 71038-5004
Phone (318) 624-4935

Other practice location 1

458 Herndon St
Shreveport, LA 71101-4859
Phone (318) 429-6938

Other practice location 2

856 Texas Ave
Shreveport, LA 71101-3400
Phone (318) 429-6938

Other identifiers 1

IdentifierTypeStateIssuer
171M00000XMedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America of North Louisiana CurrentSince Sep 1, 2020 Accepting new patients
Creative Counseling, LLC Past Accepting new patients

Locations

2920 Knight St
Bldg 1
Shreveport, LA 71105
Phone (318) 429-6938

458 Herndon St
Shreveport, LA 71101
Phone (318) 221-5565

856 Texas Ave
Shreveport, LA 71101
Phone (318) 429-6938

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, 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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1588384598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 MAIN ST",
            "city": "HAYNESVILLE",
            "state": "LA",
            "postal_code": "710385004",
            "telephone_number": "318-624-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055314",
            "telephone_number": "318-221-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "458 Herndon St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014859",
            "country_code": "US",
            "telephone_number": "318-429-6938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "856 Texas Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711013400",
            "country_code": "US",
            "telephone_number": "318-429-6938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHELSEA",
        "middle_name": "CHANTREZ",
        "name_prefix": "Miss",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171M00000X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.