Active NPI
Christa Chesley, LCSW-C
- Clinical Social Worker
- Cambridge, MD
National Provider Identifier
1669749495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17468
- Practice address
- 3 Cedar St
Cambridge, MD 21613-2362 - Phone
- (410) 228-0973
- NPI assigned
- Nov 22, 2011
- Last updated
- Nov 22, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 17468 | MD | Primary |
Addresses
Primary practice location
3 Cedar St
Cambridge, MD 21613-2362
Mailing address
3 Cedar St
Cambridge, MD 21613-2362
Phone (410) 228-0973
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 |
|---|---|---|---|
| 17468 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1669749495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CEDAR ST",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216132362",
"telephone_number": "410-228-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CEDAR ST",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216132362",
"telephone_number": "410-228-0973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESLEY",
"first_name": "CHRISTA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MD
- Yeyin Chen, DNP
- Chesapeake Bay Orthopedics PC
- Chesapeake Bay Orthopedics, PC
- Chesapeake Cardiology Clinic
- Chesapeake Youth Center
- Thomas G Chiccone, MD
- Choices Family Services, LLC
- Choptank Community Health System Inc (Dorchester County WIC Dental Services)
- Choptank Community Health System Inc (Maple Elementary School SBDP)
- Choptank Community Health System Inc (St. Clair Head Start Dental Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.