CHELSEA ALEXANDRIA STAINE – Clinical Social Worker, NPI 1215559901

CHELSEA ALEXANDRIA STAINE is a healthcare provider. based in Lynwood, California. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 109085 (CA). The NPI Number for CHELSEA ALEXANDRIA STAINE is 1215559901

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
CHELSEA ALEXANDRIA STAINE
NPI
1215559901
Phone
(310) 667-4070
Address
2620 INDUSTRY WAY
Enumeration Date
15 May 2020
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5622955916
Graduation Year
2022 (4 years ago)
PAC ID
0244745339
Group Practice PAC ID
2668467341
Professional Enrollment ID
I20250716003848
Address ID
CA900593019LO12021AVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

4,987 CLINICAL SOCIAL WORKER in CA

Provider Addresses for CHELSEA ALEXANDRIA STAINE

  • 2620 INDUSTRY WAY

    LYNWOOD, CA 902624024

    Phone: (310) 667-4070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250716003848IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90262)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668467341View full group profile
NameSpecialtyState
Nurse PractitionerCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
-CA

Reviews

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Frequently asked questions

What is the registry number for CHELSEA ALEXANDRIA STAINE?
The registry entry for CHELSEA ALEXANDRIA STAINE shows NPI 1215559901.
Is CHELSEA ALEXANDRIA STAINE's NPI status active today?
Active status means CHELSEA ALEXANDRIA STAINE's NPI record is not deactivated in the public file.
Which specialty label fits CHELSEA ALEXANDRIA STAINE?
NPPES ties CHELSEA ALEXANDRIA STAINE to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHELSEA ALEXANDRIA STAINE?
CHELSEA ALEXANDRIA STAINE is associated with Lynwood, California in the same public data insurers reference.
Why is information missing for CHELSEA ALEXANDRIA STAINE?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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