Individual provider Active NPI

Katherine Elizabeth Chockley, LSW

  • Social Worker
  • Bryn Mawr, PA
National Provider Identifier
1205565017
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW139302 Issued in PA
Practice address
1062 E Lancaster Ave Ste 9a
Bryn Mawr, PA 19010-1568
Phone
(484) 580-9022
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW139302 PA Primary

Addresses

Primary practice location

1062 E Lancaster Ave Ste 9a
Bryn Mawr, PA 19010-1568

Mailing address

1062 E Lancaster Ave Ste 9a
Bryn Mawr, PA 19010-1568
Phone (484) 580-9022

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

LicenseStateTypeSpecialty
SW139302PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1205565017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 E LANCASTER AVE STE 9A",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101568",
            "telephone_number": "484-580-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 E LANCASTER AVE STE 9A",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101568",
            "telephone_number": "484-580-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOCKLEY",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.