Individual provider Active NPI

Chelsie Harris

  • Clinical Social Worker
  • Temple Terrace, FL
National Provider Identifier
1912583063
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17959 Issued in FL
Practice address
13016 Sanctuary Cove Dr Unit 203
Temple Terrace, FL 33637-2144
Phone
(813) 895-8280
NPI assigned
Mar 19, 2021
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 SW17959 FL Primary

Addresses

Primary practice location

13016 Sanctuary Cove Dr Unit 203
Temple Terrace, FL 33637-2144

Mailing address

2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Chelsie.HarrisLCSW@direct.mybaycare.org Health Information Exchange (HIE) BayCare Behavioral Health Associates LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231009000102 FL Practitioner - Clinical Social Worker 0547615742 Reassigns benefits to 3 organizations
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Inc. Current Accepting new patients
Balanced Wellbeing LLC Clinical CurrentSince Oct 23, 2023 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Mar 27, 2024 Accepting new patients
Direct Access Counseling & Supportive Services, LLC Clinical CurrentSince May 16, 2024 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Mar 27, 2024 Accepting new patients
Baycare Behavioral Health Inc. Past Accepting new patients
Behavioral Health Management Services, Inc. Past Accepting new patients
Baycare Behavioral Health Inc. Past Accepting new patients

Locations

14527 7th St
Dade City, FL 33523
Phone (352) 345-1235

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

Interoperability endpoints

  • Direct secure messaging: chelsie.harrislcsw@direct.mybaycare.org

Organizations & group practices 8

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": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1912583063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13016 SANCTUARY COVE DR UNIT 203",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336372144",
            "telephone_number": "813-895-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHELSIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chelsie.HarrisLCSW@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Behavioral Health Associates LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13016 Sanctuary Cove Dr Unit 203",
            "city": "Temple Terrace",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336372144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.