Chelsea Jaymise Brown, LCSW
Individual provider Active NPI Clinical Social Worker · Charlotte, NC
NPI 1962046607 · NPPES record last updated Nov 12, 2019
Key facts
- NPI
- 1962046607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 2300 Sardis Rd N
Charlotte, NC 28227-7715 - Phone
- (704) 344-3100
- NPI assigned
- Nov 6, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in NC, SC, FL, DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Virginia LLC | Clinical | Current |
Accepting new patients |
| Minuteclinic Diagnostic South Carolina LLC | Current |
Accepting new patients | |
| Minuteclinic Video Virtual Care, PLLC | Clinical | Current |
Accepting new patients |
| Minuteclinic LLC | Clinical | Current |
Accepting new patients |
| Minuteclinic Diagnostic of North Carolina PC | Clinical | Current |
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) 577-6888
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) 352-0943
6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415
698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
2300 Sardis Rd N
Charlotte, NC 28227-7715
Mailing address
2300 Sardis Rd N Ste M
Charlotte, NC 28227-7712
Other providers in Charlotte, NC
- Caylee Brown
- Ceili Brown
- Charles H. Brown Jr.
- Charles Jacob Brown
- Charles Jacob Brown
- Chelsey Blaire Brown
- Christina Brown
- Christine B Brown
- Cierra Renee Brown
- Connie Yvonne Brown
All providers in Charlotte, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.