Individual provider Active NPI

Chelsea Jaymise Brown, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1962046607
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2300 Sardis Rd N
Charlotte, NC 28227-7715
Phone
(704) 344-3100
NPI assigned
Nov 6, 2019
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2300 Sardis Rd N
Charlotte, NC 28227-7715

Mailing address

2300 Sardis Rd N Ste M
Charlotte, NC 28227-7712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, FL, DC, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200108000283 NC Practitioner - Clinical Social Worker 2062846652 Reassigns benefits to 1 organization
I20241226002238 SC Practitioner - Clinical Social Worker 2062846652 Reassigns benefits to 2 organizations
I20250204000551 FL Practitioner - Clinical Social Worker 2062846652 Reassigns benefits to 1 organization
I20250204000757 DC Practitioner - Clinical Social Worker 2062846652 Reassigns benefits to 1 organization
I20250326002453 VA Practitioner - Clinical Social Worker 2062846652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Clinical CurrentSince Nov 30, 2024 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Clinical CurrentSince Nov 12, 2024 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Clinical CurrentSince Nov 12, 2024 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC CurrentSince Nov 12, 2024 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Clinical CurrentSince Aug 22, 2024 Accepting new patients
Veritas Collaborative, LLC Past Accepting new patients
Veritas Collaborative Charlotte, LLC Past Accepting new patients
Veritas Collaborative, LLC Past Accepting new patients
Veritas Collaborative Charlotte, LLC Past Accepting new patients

Locations

30387 US Highway 19 N
Clearwater, FL 33761
Phone (727) 727-7812

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-1177

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 360-8112

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

3921 Prosperity Ave
Fairfax, VA 22031
Phone (703) 216-1927

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Organizations & group practices 9

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1962046607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SARDIS RD N STE M",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SARDIS RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277715",
            "telephone_number": "704-344-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHELSEA",
        "middle_name": "JAYMISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.