Chelsea Colleen Brouse, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-43630 Issued in ID

Practice address

1110 W Park PL Ste 202
Coeur D Alene, ID 83814-2783

Phone

(208) 244-0120

NPI assigned

May 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Chelsea Colleen Brouse Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Psych Collective

  • Social Worker
  • Coeur D Alene, ID
  • NPI 1457112039
  NPD (past) Authorized official

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1689366890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W PARK PL STE 202",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142783",
            "telephone_number": "208-244-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PARK PL STE 202",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142783",
            "telephone_number": "208-244-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 N Lakewood Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142473",
            "country_code": "US",
            "telephone_number": "208-660-6586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUSE",
        "first_name": "CHELSEA",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LMSW-43630",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-43630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "BROUSE",
            "middle_name": "COLLEEN",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Charlotte Rene Broesch, ARNP-CNP
• Yohanna L T B Broker, DC
• Christine Brooks, LCSW
• Marquita Brooks, PA-C
• Dawn C Brose, LCSW
• Melanie Christine Browder, CRNA
• Jessica Brown, ARNP
• Kevin Nathaniel Brown, MD
• Regan R Brown, PA-C
• Scott Andrew Brown, DO

• Social Worker in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.