Elizabeth R Chalfant, LISW-S, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1800951-SUPV Issued in OH

Practice address

14 Sandalwood Dr
Newark, OH 43055-9233

Phone

(740) 349-7511

Fax

(740) 522-4263

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elizabeth R Whipple Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Horizons Mental Health Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Lancaster, OH
  • NPI 1720514946
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1003249277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SANDALWOOD DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559233",
            "telephone_number": "740-788-8850",
            "fax_number": "740-788-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SANDALWOOD DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559233",
            "telephone_number": "740-349-7511",
            "fax_number": "740-522-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALFANT",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1800951-SUPV",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WHIPPLE",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Cashen
• Phillip Richardson Caudill
• Center for Sight, Inc
• Central Ohio Therapy Solutions LLC
• Rex Chadeya
• Kailie Shaelyn Chandler
• Minnie Lucille Channel, RN
• Kahssandra R Chatman Winter
• Yumei Chen, MD, PHD
• Darryl Cherdron, MD

• Clinical Social Worker in Newark, OH
• Providers in Newark, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.