Individual provider Active NPI

Christian Chapman, LCSW

  • Clinical Social Worker
  • Boiling Springs, SC
National Provider Identifier
1043975311
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66422 Issued in TX
Practice address
1518 Matlock CT
Boiling Springs, SC 29316-4841
Phone
(512) 256-0227
NPI assigned
Nov 2, 2021
Last updated
Mar 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66422 TX Primary

Addresses

Primary practice location

1518 Matlock CT
Boiling Springs, SC 29316-4841

Mailing address

2607 Woodruff Rd Ste E
PMB 3098
Simpsonville, SC 29681
Phone (512) 256-0227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004000122 TX Practitioner - Clinical Social Worker 7416301866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66422TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Thread Therapy Services LLC Clinical CurrentSince Mar 31, 2024 Accepting new patients

Locations

2607 Woodruff Rd
Ste E
Simpsonville, SC 29681
Phone (803) 447-8877

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1043975311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WOODRUFF RD STE E",
            "address_2": "PMB 3098",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "512-256-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MATLOCK CT",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293164841",
            "telephone_number": "512-256-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "CHRISTIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

Verify at the official NPI Registry.