Active NPI
Monica Vollm Chelette, LCSW
- Clinical Social Worker
- Dry Prong, LA
National Provider Identifier
1669746376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5594
- Practice address
- 17763 Highway 167
Dry Prong, LA 71423-9205 - Phone
- (318) 899-5276
- Fax
- (318) 899-5234
- NPI assigned
- Feb 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5594 | LA | Primary |
Addresses
Primary practice location
17763 Highway 167
Dry Prong, LA 71423-9205
Mailing address
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 899-5276
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5594 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Health Louisiana | Past | Accepting new patients | |
| Access Health Louisiana | Past | Accepting new patients |
Interoperability endpoints
- monica.chelette.1@11331.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- Natchitoches, LA
- NPI 1134848559
-
- Federally Qualified Health Center (FQHC)
- Marrero, LA
- NPI 1255226429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1669746376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 MASONIC DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013841",
"telephone_number": "318-899-5276",
"fax_number": "318-899-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17763 HIGHWAY 167",
"city": "DRY PRONG",
"state": "LA",
"postal_code": "714239205",
"telephone_number": "318-899-5276",
"fax_number": "318-899-5234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELETTE",
"first_name": "MONICA",
"middle_name": "VOLLM",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "5594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dry Prong, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.