Constantine Theodore Chelpon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004772 Issued in VA

Practice address

5610 Sandy Lewis Dr Ste a
Fairfax, VA 22032-4045

Phone

(703) 425-8269

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• T Med Behavioral Inc

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1497719272
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215019559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 SANDY LEWIS DR STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220324045",
            "telephone_number": "703-425-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 SANDY LEWIS DR STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220324045",
            "telephone_number": "703-425-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELPON",
        "first_name": "CONSTANTINE",
        "middle_name": "THEODORE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "C741",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1775906",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "630209",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanci Chavez
• Ashish K Chawla, M.D.
• Nataliya Chaykivska
• Aleasha Checo
• Sparshdeep Cheema
• Gao Linda Chen, M.D.
• Hannah Chen
• Jenny Chen
• Jing Selia Chen, M.D.
• Joanna Chen, DDS

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Social Worker in Virginia

• 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.

Verify at the official NPI Registry.