Chelsea Alexandria Staine, is a medicare enrolled "Social Worker - Clinical" provider in Lynwood, California. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Exodus Recovery Inc and her current practice location is
2620 Industry Way, Lynwood, California. You can reach out to her office (for appointments etc.) via phone at
(310) 667-4070.
Chelsea Alexandria Staine is licensed to practice in California (license number 129357) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215559901.
Healthcare Provider's Profile
| Full Name | Chelsea Alexandria Staine |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 2620 Industry Way, Lynwood, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Chelsea Alexandria Staine graduated from medical school in 2022
NPI Data:
- NPI Number: 1215559901
- Provider Enumeration Date: 05/15/2020
- Last Update Date: 03/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244745339
- Enrollment ID: I20250716003848
Medical Identifiers
Medical identifiers for Chelsea Alexandria Staine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215559901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 109085 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 109085 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 129357 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Exodus Recovery Inc | 2668467341 | 14 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chelsea Alexandria Staine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chelsea Alexandria Staine,
2620 Industry Way,
Lynwood, CA 90262-4024
Ph: (310) 667-4070 | Chelsea Alexandria Staine,
2620 Industry Way,
Lynwood, CA 90262-4024
Ph: (310) 667-4070 |
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