CHELSEA R. GILBERTSON
NPI 1134552193
Social Worker - Clinical in Brown Deer, WI
NPI Status: Active since August 14, 2013
Contact Information
3900 W BROWN DEER RD
SUITE 200
BROWN DEER, WI
ZIP 53209
Phone: (414) 540-2170
Fax: (414) 540-2171
- Individual
- Female
- Years of Experience 12
- Social Worker
- Clinical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CHELSEA GILBERTSON
This page provides the complete NPI Profile along with additional information for Chelsea Gilbertson, a provider established in Brown Deer, Wisconsin with a medical specialization in Social Worker, focusing in clinical and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1134552193 assigned on August 2013. The practitioner's primary taxonomy code is 1041C0700X with license number 129577-121 (WI). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1134552193
- Provider Name
- CHELSEA R. GILBERTSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209
- Location Phone
- (414) 540-2170
- Location Fax
- (414) 540-2171
- Mailing Address
- 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209
- Mailing Phone
- (414) 540-2170
- Mailing Fax
- (414) 540-2171
- Medical School Name
- OTHER
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-14-2013
- Last Update Date
- 12-30-2014
- Code Navigator
A clinical social worker like Chelsea Gilbertson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 129577-121
- License State
- WI
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Chelsea Gilbertson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Chelsea Gilbertson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4688955917
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20161229000024
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $16.84 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53209 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $0
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 5 | 5 | 2 | 1 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 10 | 5 | 4 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 0 + 5 + 4 + 1 + 1 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1134552193 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023117439 | MS. WENDY ANN DIEHLS APSW Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1245339647 | MS. EILEEN MARIE DEAN MS Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1053410456 | MS. WILMA J WERNICK MS Individual | Art Therapist | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1083715916 | MS. JOAN L MILLER MSW LCSW Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1053404459 | MRS. CATHERINE TERESE BUTTS MS Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1114010519 | MR. WILLIAM PAUL STEWART MSW Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1134214141 | MS. ELIZABETH ANN COCOS MSW Individual | Social Worker | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1073608980 | MS. TINA L PLOETZ LPC Individual | Counselor (Professional) | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1881780195 | MRS. JEANNE A CORRAO MS LPC 1372125 Individual | Counselor (Professional) | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1750477782 | MRS. SARA JEAN LASKOWSKI MS Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1649359308 | CAROL GRACE TROUT LCSW 7269123 Individual | Social Worker (Clinical) | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1649340795 | MS. CHERYL LYNN RAY MS Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1023180064 | MS. KRISTIN ANN JOHNSON MS LPC Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1811062938 | MRS. KATHRYN FORD MS Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1720153844 | MS. JULIANNE GEDDIS MS LPC Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1255408670 | MISS LARNZETTA MCFADDEN MA LPC Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1336209386 | MS. PAM A CASS LCSW Individual | Marriage & Family Therapist | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1598816662 | MS. BEVERLY A DALEY MSW LCSW Individual | Social Worker | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
| 1013031319 | DR. JOSE B. TORRES PHD. Individual | Social Worker (Clinical) | 3900 W BROWN DEER RD BROWN DEER, WI 53209 (414) 540-2170 |
| 1598880569 | MRS. DAROLYN DOBS JEDRZEJCZAK MS Individual | Counselor | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI 53209 (414) 540-2170 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134552193, enumerated in the NPI registry as an "individual" on August 14, 2013
The provider is located at 3900 W Brown Deer Rd Suite 200 Brown Deer, Wi 53209 and the phone number is (414) 540-2170
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider has more than 12 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Chorus. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 14, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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