Active NPI
Stephen Paul Chasteen, LISW-CP, LCSW
- Clinical Social Worker
- Spartanburg, SC
National Provider Identifier
1124278049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6926
- Practice address
- 958 E Main St
Suite B
Spartanburg, SC 29302-2148 - Phone
- (864) 641-6632
- NPI assigned
- Sep 28, 2008
- Reactivated
- Nov 8, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C008326 | NC | |
| Clinical Social Worker | 1041C0700X | 6926 | SC | Primary |
Addresses
Primary practice location
958 E Main St
Suite B
Spartanburg, SC 29302-2148
Mailing address
704 Kingsmoor Dr
Simpsonville, SC 29681-3502
Phone (843) 817-9008
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C008326 | NC | MD | Clinical Social Worker |
| 6926 | SC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grey Group LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Spartanburg, SC
- NPI 1699128835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1124278049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 KINGSMOOR DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813502",
"telephone_number": "843-817-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 E MAIN ST",
"address_2": "SUITE B",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293022148",
"telephone_number": "864-641-6632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTEEN",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "LISW-CP, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-28",
"last_updated": "2016-07-21",
"deactivation_date": "2010-11-19",
"reactivation_date": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008326",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "6926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.