Chandler Massengale, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHANDLER MASSENGALE, LLC

Practice address

3265 N Carolina Ave
North Charleston, SC 29405-5819

Phone

(843) 410-3462

NPI assigned

Jan 3, 2023

Organization subpart

No

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

Authorized official

Name

Chandler Massengale, LISW-CPNPI 1629693007

Title

Therapist

Phone

(843) 410-3462

Specialties & licenses 1

Addresses

Other names 1

• Twin Anchors Counseling Doing business as

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chandler Massengale, LISW-CP

  • Clinical Social Worker
  • North Charleston, SC
  • NPI 1629693007

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734825600000",
    "number": "1144933375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WANTOOT BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076630",
            "telephone_number": "843-410-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 N CAROLINA AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055819",
            "telephone_number": "843-410-3462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 Wantoot Blvd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294076630",
            "country_code": "US",
            "telephone_number": "843-410-3462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHANDLER MASSENGALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "MASSENGALE",
        "authorized_official_first_name": "CHANDLER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "843-410-3462",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Anchors Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Twin Anchors Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in North Charleston, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; 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.