Active NPI
Joseph Chatman III
- Social Worker
- Clarksville, TN
National Provider Identifier
1093069825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 751
- Practice address
- 1820 Memorial Cir
Clarksville, TN 37043-4539 - Phone
- (931) 920-7330
- Fax
- (931) 920-7205
- NPI assigned
- Oct 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 751 | TN | Primary |
Addresses
Primary practice location
1820 Memorial Cir
Clarksville, TN 37043-4539
Mailing address
1685 Windriver Rd
Clarksville, TN 37042-8594
Phone (931) 906-8228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 751 | TN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1093069825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1685 WINDRIVER RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370428594",
"telephone_number": "931-906-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 MEMORIAL CIR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434539",
"telephone_number": "931-920-7330",
"fax_number": "931-920-7205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATMAN",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.