Individual provider Active NPI

Anita Chellappah, LCSW

  • Clinical Social Worker
  • Terre Haute, IN
National Provider Identifier
1235444092
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006053 Issued in IN
Practice address
500 8TH Ave
Terre Haute, IN 47804-4072
Phone
(812) 231-8148
Fax
(812) 231-8208
NPI assigned
Aug 17, 2010
Last updated
Nov 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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 34006053 IN Primary
Clinical Social Worker 1041C0700X 56226 TX

Addresses

Primary practice location

500 8TH Ave
Terre Haute, IN 47804-4072

Mailing address

620 8TH Ave
P.O. Box 4323
Terre Haute, IN 47804-2744
Phone (812) 231-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130214000009 TX Practitioner - Clinical Social Worker 0143474486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

401 E Illinois Ave
Suite 100
Midland, TX 79701-4894
Phone (432) 570-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006053INMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C CurrentSince May 17, 2014 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Aug 1, 2015 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Aug 1, 2015 Accepting new patients
Hamilton Center Inc. Past Accepting new patients

Locations

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

401 E Illinois Ave
Ste 200
Midland, TX 79701
Phone (432) 570-3333

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1235444092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 8TH AVE",
            "address_2": "P.O. BOX 4323",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042744",
            "telephone_number": "812-231-8315",
            "fax_number": "812-231-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044072",
            "telephone_number": "812-231-8148",
            "fax_number": "812-231-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELLAPPAH",
        "first_name": "ANITA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006053",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.