Bradley A Chamberlain, LISW, LCSW
Individual provider Active NPI Clinical Social Worker · Waukee, IA
NPI 1114357985 · NPPES record last updated Nov 21, 2019
Key facts
- NPI
- 1114357985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 085938 (IA)
- Practice address
- 645 NE Brookshire Dr
Waukee, IA 50263-8761 - Phone
- (469) 585-3462
- NPI assigned
- Nov 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Iowa Health Center
Midwest Post Acute Care PLLC
Practice addresses (Care Compare)
1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300
1225 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300
200 7TH Ave SW
Altoona, IA 50009-1630
Phone (515) 967-4267
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250218002022 | IA | Practitioner - Clinical Social Worker | 7416184940 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51472 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Post Acute Care PLLC | Clinical | Current |
Accepting new patients |
| Eastern Iowa Health Center | Current | Accepting new patients |
Locations
1030 5th Ave SE
Ste 2400
Cedar Rapids, IA 52403
1201 3rd Ave SE
Cedar Rapids, IA 52403
Phone (319) 730-7343
2001 Kennedy St
Granger, IA 50109
Phone (515) 999-2588
204 N Keokuk Washington Rd
Keota, IA 52248
Phone (641) 636-3400
Interoperability endpoints
- bradley.chamberlain.1@13071.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 51472 | TX | |
| Clinical Social Worker | 1041C0700X | 085938 | IA | Yes |
Addresses
Primary practice location
645 NE Brookshire Dr
Waukee, IA 50263-8761
Mailing address
1380 River Bend Dr
Dallas, TX 75247-4914
Phone (214) 743-6146
Other providers in Waukee, IA
- John Andrew Bryan
- Sierra Jane Burn
- Canaan Services
- Jordan Candelaria
- Carebridge Transportaton LLC
- Christian Transportation Service,LLC
- City of Waukee
- Coen Counseling
- Abby Elizabeth Conrad
- Tricia L Cooperrider
All providers in Waukee, IA · Clinical Social Worker in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.