Individual provider Active NPI

Chelsea Marguerite Cheatham, LCSW

  • Clinical Social Worker
  • Attleboro, MA
National Provider Identifier
1619287125
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW03725 Issued in RI
Practice address
550 N Main St
Attleboro, MA 02703-1735
Phone
(781) 929-9188
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 CSW03725 RI Primary

Addresses

Primary practice location

550 N Main St
Attleboro, MA 02703-1735

Mailing address

10 Martin St
Attleboro, MA 02703-5055
Phone (781) 929-9188

Other practice location 1

101-103 Bacon Street
Pawtucket, RI 02860
Phone (401) 722-3560

Other practice location 2

1 Washington St
Taunton, MA 02780-3960
Phone (781) 828-9112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20241120001893 RI Practitioner - Clinical Social Worker 4082149554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW03725RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Healthcare Inc CurrentSince Sep 8, 2024 Accepting new patients

Locations

1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829

105 Bacon St
Pawtucket, RI 02860
Phone (401) 722-3560

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

1 Virginia Ave
Ste 200
Providence, RI 02905

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1619287125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARTIN ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027035055",
            "telephone_number": "781-929-9188",
            "fax_number": "781-929-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031735",
            "telephone_number": "781-929-9188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101-103 Bacon Street",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "02860",
            "country_code": "US",
            "telephone_number": "401-722-3560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Washington St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027803960",
            "country_code": "US",
            "telephone_number": "781-828-9112",
            "fax_number": "508-824-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "CHELSEA",
        "middle_name": "MARGUERITE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.