Healthcare Provider Details

I. General information

NPI: 1942145966
Provider Name (Legal Business Name): DR. CHELSIE MORGAN CARPENTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 LAKE AVE N
WORCESTER MA
01655-0002
US

IV. Provider business mailing address

119 BELMONT ST
WORCESTER MA
01605-2903
US

V. Phone/Fax

Practice location:
  • Phone: 774-441-6468
  • Fax: 508-793-6315
Mailing address:
  • Phone: 774-441-6468
  • Fax: 508-793-6315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN2332283
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: