NPIMap

Individual provider Active NPI

Chelsie N. Giambrone, LCSW, LISW-S, LICDC

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1861812703
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW70538 Issued in CA
Practice address
4510 Executive Dr Ste 315
San Diego, CA 92121-3029
Phone
(858) 534-8019
NPI assigned
Apr 18, 2014
Last updated
Jul 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ICDC.131175 OH
Clinical Social Worker 1041C0700X I.1302991 OH
Clinical Social Worker 1041C0700X LCSW70538 CA Primary

Addresses

Primary practice location

4510 Executive Dr Ste 315
San Diego, CA 92121-3029

Mailing address

4510 Executive Dr.
Suite 315
San Diego, CA 92121

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
ICDC.131175OHMDAddiction (Substance Use Disorder) Counselor
LCSW70538CAMDClinical Social Worker
I.1302991OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsie Nicole Giambrone, Licensed Clinical Social Worker, PC Clinical Current Accepting new patients
Ucsd Eating Disorder Treatment and Research Center Past Accepting new patients

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, 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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1861812703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR.",
            "address_2": "SUITE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213029",
            "telephone_number": "858-534-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBRONE",
        "first_name": "CHELSIE",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "LCSW, LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC.131175",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1302991",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW70538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.