Active NPI
Elisabeth Garrett Chakmakian, LCSW-C
- Clinical Social Worker
- Elkridge, MD
National Provider Identifier
1124042965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11480
- Practice address
- 8182 Lark Brown Rd
Ste 201
Elkridge, MD 21075-6428 - Phone
- (410) 274-7612
- Fax
- (410) 799-5576
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11480 | MD | Primary |
Addresses
Primary practice location
8182 Lark Brown Rd
Ste 201
Elkridge, MD 21075-6428
Mailing address
8182 Lark Brown Rd
Ste 201
Elkridge, MD 21075-6428
Phone (410) 274-7612
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 |
|---|---|---|---|
| 11480 | MD | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124042965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8182 LARK BROWN RD",
"address_2": "STE 201",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756428",
"telephone_number": "410-274-7612",
"fax_number": "410-799-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8182 LARK BROWN RD",
"address_2": "STE 201",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756428",
"telephone_number": "410-274-7612",
"fax_number": "410-799-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKMAKIAN",
"first_name": "ELISABETH",
"middle_name": "GARRETT",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.