Pamela Ann Chapman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

042403 Issued in NY

Practice address

211 N Geneva St
Ithaca, NY 14850-4135

Phone

(607) 327-3075

NPI assigned

Jan 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family & Children's Service of Ithaca Inc

  • Voluntary or Charitable Agency
  • Ithaca, NY
  • NPI 1124176680
  NPD (past)
• Enact Learning Technologies, Inc.

  dba ENACT Autism Services

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1134535131
  NPD (past)
• Partners Health Network, Inc.

  • Professional Counselor
  • Wilmington, NC
  • NPI 1467784306

  Clinical

  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053462382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SNYDER HILL RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508722",
            "telephone_number": "607-327-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N GENEVA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504135",
            "telephone_number": "607-327-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "042403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02239494",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Challenge Industries Inc (Challenge Workforce Solutions)
• Marc Chamberlain
• Adriana Chamberlin
• Carol Ann Chambers
• Gichin Changaramkumarath
• Kelsey Proulx Chatterton, PT, DPT
• Jane Kathryn Chauncey, LCSW-R
• Timothy Cheeseboro
• Eric Chen, DMD
• Melinda Ashley Chen, PA

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.