Individual provider Active NPI

Chelsea Tepedino, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1972829299
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3560 Cardinal Point Dr
#204
Jacksonville, FL 32257-9235
Phone
(904) 737-7242
Fax
(904) 737-7254
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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 Primary

Addresses

Primary practice location

3560 Cardinal Point Dr
#204
Jacksonville, FL 32257-9235

Mailing address

3560 Cardinal Point Dr
#204
Jacksonville, FL 32257-9235
Phone (904) 737-7242

Other names 1

  • Chelsea Foote Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Jacksonville Center for Counseling, Inc. PastSince Jun 1, 2016 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

3122 New Berlin Rd
Jacksonville, FL 32226
Phone (904) 633-0340

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

76011 William Burgess Blvd
Yulee, FL 32097
Phone (904) 427-8585

Organizations & group practices 3

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1972829299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 CARDINAL POINT DR",
            "address_2": "#204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579235",
            "telephone_number": "904-737-7242",
            "fax_number": "904-737-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 CARDINAL POINT DR",
            "address_2": "#204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579235",
            "telephone_number": "904-737-7242",
            "fax_number": "904-737-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPEDINO",
        "first_name": "CHELSEA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "FOOTE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.