Individual provider Active NPI

Celeste J Welch, LMSW

  • Social Worker
  • Salisbury, MD
National Provider Identifier
1821664467
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
27148 Issued in MD
Practice address
31575 Winterplace Pkwy
Salisbury, MD 21804-1882
Phone
(410) 642-4011
NPI assigned
Jun 3, 2021
Last updated
Oct 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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 27148 MD Primary

Addresses

Primary practice location

31575 Winterplace Pkwy
Salisbury, MD 21804-1882

Mailing address

31575 Winterplace Pkwy
Salisbury, MD 21804-1882
Phone (410) 642-4011

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.evolvementalwellness.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20221109002178 MD Practitioner - Clinical Social Worker 5496122178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evolve Mental WellnessGroup PAC ID 6608266846, 21 clinicians

Practice addresses (Care Compare)

1411 Wesley Dr
Salisbury, MD 21801-7149
Phone (410) 642-4011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Mental Wellness CurrentSince Sep 1, 2022 Accepting new patients

Locations

1411 Wesley Dr
Salisbury, MD 21801
Phone (410) 642-4011

31575 Winterplace Pkwy
Salisbury, MD 21804
Phone (410) 546-0900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1821664467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31575 WINTERPLACE PKWY",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041882",
            "telephone_number": "410-642-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31575 WINTERPLACE PKWY",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041882",
            "telephone_number": "410-642-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "CELESTE",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.evolvementalwellness.com/",
            "affiliation": "N",
            "address_1": "31575 Winterplace Pkwy",
            "city": "Salisbury",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218041882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.