Jonathan Chamblee, MA, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

99111738A Issued in IN

Practice address

5645 E Raymond St
Indianapolis, IN 46203-4967

Phone

(317) 505-1230

NPI assigned

Aug 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Kenosis Center, Inc.

  • Clinical Social Worker
  • Greenwood, IN
  • NPI 1659433761
  NPD (past)
• Kenosis Counseling Center, Inc.

  • Clinical Social Worker
  • Greenwood, IN
  • NPI 1699920553
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1215417910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 IRONRIDGE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398890",
            "telephone_number": "317-473-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034967",
            "telephone_number": "317-505-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLEE",
        "first_name": "JONATHAN",
        "credential": "MA, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "99111738A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Marion Chambers, M.D.
• Joshua D Chambers, PA-C
• Joshua Paul Chambers, NP
• Robert Andrew Chambers, M.D.
• Sanchitta Chambers
• Nicholas Alan Champlin, PA-C
• Havilah S Champoux, MS, OTR
• Lisa Liman Chan-Owensby, NP
• Consolacion Monica B Chan, FNP-C
• Edward M Chan, M.D.

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.