Individual provider Active NPI

Chelsea Shields Barth, CSW

  • Social Worker
  • Louisville, KY
National Provider Identifier
1801533716
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
254972 Issued in KY
Practice address
10300 Brookridge Village Blvd Ste 104
Louisville, KY 40291-4474
Phone
(502) 785-4322
NPI assigned
May 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 254972 KY Primary

Addresses

Primary practice location

10300 Brookridge Village Blvd Ste 104
Louisville, KY 40291-4474

Mailing address

10300 Brookridge Village Blvd
Louisville, KY 40291-4474
Phone (502) 785-4322

Other names 1

  • Chelsea Anne Shields 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
254972KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Family Therapy Center Inc. CurrentSince May 16, 2022 Accepting new patients

Locations

10300 Brookridge Village Blvd
Ste 104
Louisville, KY 40291
Phone (502) 727-8697

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": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1801533716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 BROOKRIDGE VILLAGE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914474",
            "telephone_number": "502-785-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 BROOKRIDGE VILLAGE BLVD STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914474",
            "telephone_number": "502-785-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "CHELSEA",
        "middle_name": "SHIELDS",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "254972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "SHIELDS",
            "middle_name": "ANNE",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.