Individual provider Active NPI

Chelsea Stephens, MSW LSW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1760909642
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1500241 Issued in OH
Practice address
431 Ohio Pike Ste 214N
Cincinnati, OH 45255-3629
Phone
(513) 655-6101
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 S.1500241 OH Primary

Addresses

Primary practice location

431 Ohio Pike Ste 214N
Cincinnati, OH 45255-3629

Mailing address

431 Ohio Pike Ste 214N
Cincinnati, OH 45255-3629
Phone (513) 655-6101

Other identifiers 1

IdentifierTypeStateIssuer
0273640MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@clermontmentalhealth.care

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
S.1500241OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mfriedman MHC LLC CurrentSince Dec 13, 2022 Accepting new patients
State Line Treatment Services, LLC Past Accepting new patients

Locations

431 Ohio Pike
Ste 214N
Cincinnati, OH 45255
Phone (513) 655-6101

Organizations & group practices 2

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1760909642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 214N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553629",
            "telephone_number": "513-655-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 214N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553629",
            "telephone_number": "513-655-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CHELSEA",
        "credential": "MSW LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1500241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273640",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@clermontmentalhealth.care",
            "affiliation": "N",
            "address_1": "431 Ohio Pike Ste 214N",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452553629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.