Individual provider Active NPI

Chelsea E Thielemier, LCSW

  • Clinical Social Worker
  • Corning, AR
National Provider Identifier
1740837673
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
602 David St
Corning, AR 72422-7268
Phone
(870) 875-3655
Fax
(870) 857-3667
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

602 David St
Corning, AR 72422-7268

Mailing address

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230424003076 AR Practitioner - Clinical Social Worker 2860857943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arisa Health IncGroup PAC ID 2264853829, 65 clinicians

Practice addresses (Care Compare)

28 Southpointe Dr
Paragould, AR 72450-6238
Phone (870) 239-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Feb 21, 2023 Accepting new patients
Arisa Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Arisa Health, Inc. Social Worker CurrentSince Aug 1, 2023 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc Current Accepting new patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Feb 21, 2023 Accepting new patients

Locations

602 David St
Corning, AR 72422
Phone (870) 857-3655

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

28 Southpointe Dr
Paragould, AR 72450
Phone (870) 239-2244

1011 W Morgan St
Paragould, AR 72450
Phone (870) 239-2244

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

Organizations & group practices 5

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1740837673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 DAVID ST",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724227268",
            "telephone_number": "870-875-3655",
            "fax_number": "870-857-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELEMIER",
        "first_name": "CHELSEA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, AR

Sources for this page

Verify at the official NPI Registry.