Individual provider Active NPI

Chelsea Garrison, LCSW

  • Clinical Social Worker
  • Klamath Falls, OR
National Provider Identifier
1720522907
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10492 Issued in OR
Practice address
905 Main St Ste 412
Klamath Falls, OR 97601-6064
Phone
(541) 907-1244
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X A5271 OR
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X L10492 OR Primary

Addresses

Primary practice location

905 Main St Ste 412
Klamath Falls, OR 97601-6064

Mailing address

905 Main St Ste 412
Klamath Falls, OR 97601-6064
Phone (541) 907-1244

Other practice location 1

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418
Phone (541) 883-1030

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
A5271ORMDClinical Social Worker
L10492ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Garrison Counseling LLC CurrentSince May 9, 2021 Accepting new patients

Locations

905 Main St
Ste 412
Klamath Falls, OR 97601
Phone (541) 877-0844

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": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1720522907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MAIN ST STE 412",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016064",
            "telephone_number": "541-907-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST STE 412",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016064",
            "telephone_number": "541-907-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 N Eldorado Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016418",
            "country_code": "US",
            "telephone_number": "541-883-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "CHELSEA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A5271",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.