Joseph E Chamberlain, LCSW
Individual provider Active NPI Clinical Social Worker · Dyer, IN
NPI 1124013933 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1124013933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34001010A (IN)
- Practice address
- 24 Joliet St
Dyer, IN 46311-1705 - Phone
- (219) 322-5747
- Fax
- (219) 864-2282
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34001010A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Margaret Mercy Healthcare Centers | Clinical | Past | Accepting new patients |
| Franciscan Health Dyer & Hammond | Past | Accepting new patients | |
| St Margaret Mercy Healthcare Centers Inc | Past | Accepting new patients |
Interoperability endpoints
- jchamberlain3728@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34001010A | IN | Yes |
Addresses
Primary practice location
24 Joliet St
Dyer, IN 46311-1705
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90000854 | Other | IL | BCBSIL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jchamberlain3728@Direct.FranciscanAlliance.org | Direct |
Other providers in Dyer, IN
- Cannan Healthcare Services & Staffing Inc
- Cardiospecialists Group, LTD
- Bethany Lynn Casson
- Kelly M Cavanaugh
- Thomas J Cavanaugh
- Tae'Ni Chang-Stroman
- Mark K Chang
- Chariot of Hearts Transportation Services
- Christine C Chariton
- Charming Skin Vein Center LLC
All providers in Dyer, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.