Individual provider Active NPI

Stephen Paul Chasteen, LISW-CP, LCSW

  • Clinical Social Worker
  • Spartanburg, SC
National Provider Identifier
1124278049
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6926 Issued in SC
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

Updated by the provider on Jul 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C008326NCMDClinical Social Worker
6926SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.