Individual provider Active NPI

Chelsea Patricia Tapp, MSW, LCSW

  • Clinical Social Worker
  • Washington, IL
National Provider Identifier
1700438033
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019964 Issued in IL
Practice address
120 Eastgate Dr
Washington, IL 61571-9236
Phone
(309) 423-3111
NPI assigned
Jul 16, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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 149.019964 IL Primary

Addresses

Primary practice location

120 Eastgate Dr
Washington, IL 61571-9236

Mailing address

238 N Stewart St
Creve Coeur, IL 61610-3226
Phone (309) 231-4543

Other names 1

  • Ms. Chelsea Patricia Floyd Former name

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

LicenseStateTypeSpecialty
149.019964ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1700438033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 N STEWART ST",
            "city": "CREVE COEUR",
            "state": "IL",
            "postal_code": "616103226",
            "telephone_number": "309-231-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EASTGATE DR",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719236",
            "telephone_number": "309-423-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPP",
        "first_name": "CHELSEA",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "FLOYD",
            "middle_name": "PATRICIA",
            "prefix": "MS.",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.