Look up the most recent NPI and PECOS records

Chelsea Smith

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Chelsea Smith is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1184187692
Provider Type
Individual
Full Name
Smith, Chelsea
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
4/11/2019
Last Updated
11/3/2023

Contact Information

Practice Location

325 Illinois Rt 2, Dixon, IL 61021-9118

(815) 284-6611

Unlisted Fax

Mailing Location

309 N Elm St, Franklin Grove, IL 61031-9543

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.026090 Illinois

Chelsea Smith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Reuter, Kelsey

Bleuer, Nicole L

Ahrens, Elivia

Hermes, Thomas James

Roberts, Valerie N.

Johnson, Morgan

Smith, Brian A

Allen, Charis

Grove, Megan Elizabeth

Geiselhart, Christina Marie