Individual provider Active NPI

Chelsea Laine Monroe

  • Clinical Social Worker
  • Middlesboro, KY
National Provider Identifier
1891393013
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256834 Issued in KY
Practice address
809 19TH St
Middlesboro, KY 40965-7759
Phone
(606) 248-3042
Fax
(606) 248-3060
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 256834 KY Primary

Addresses

Primary practice location

809 19TH St
Middlesboro, KY 40965-7759

Mailing address

809 19TH St
Middlesboro, KY 40965-7759
Phone (606) 248-3042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241204001249 KY Practitioner - Clinical Social Worker 4587190335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isaiah House IncGroup PAC ID 7113262163, 12 clinicians

Practice addresses (Care Compare)

2084 Main St
Willisburg, KY 40078-8199
Phone (859) 375-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256834KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Kentucky, LLC CurrentSince Apr 27, 2022 Accepting new patients
Isaiah House, Inc. CurrentSince Nov 21, 2024 Accepting new patients

Locations

415 Ky 225
Barbourville, KY 40906
Phone (606) 619-4086

100 Broadway
Ste 101
Chaplin, KY 40012

809 N 19th St
Middlesboro, KY 40965
Phone (606) 248-3042

2084 Main St
Willisburg, KY 40078

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1891393013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 19TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409657759",
            "telephone_number": "606-248-3042",
            "fax_number": "606-248-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 19TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409657759",
            "telephone_number": "606-248-3042",
            "fax_number": "606-248-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "CHELSEA",
        "middle_name": "LAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.