Active NPI
Chelsea Lynn Wold, LCSW
- Clinical Social Worker
- Roseburg, OR
National Provider Identifier
1831611052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L8000
- Practice address
- 150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042 - Phone
- (541) 672-9596
- NPI assigned
- Jul 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L8000 | OR | Primary |
Addresses
Primary practice location
150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Other practice location 1
621 W Madrone St
Roseburg, OR 97470-3090
Phone (541) 492-0241
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1831611052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1121",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 NE KENNETH FORD DR",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974701042",
"telephone_number": "541-672-9596"
}
],
"practiceLocations": [
{
"address_1": "621 W Madrone St",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974703090",
"country_code": "US",
"telephone_number": "541-492-0241",
"fax_number": "541-492-0241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLD",
"first_name": "CHELSEA",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L8000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.