Active NPI
Courtney Elizabeth Chaffee, MSW
- Clinical Social Worker
- Fort Wayne, IN
National Provider Identifier
1265714828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 909 E State Blvd
Fort Wayne, IN 46805-3404 - Phone
- (260) 481-2700
- Fax
- (260) 481-2709
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
909 E State Blvd
Fort Wayne, IN 46805-3404
Mailing address
10716 Wild Ridge PL
Fort Wayne, IN 46818-8801
Phone (260) 481-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6157 Stoney Creek Dr
Fort Wayne, IN 46825-4409
Phone (260) 570-4515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chaffee Consulting, Inc. | Clinical | Current | Accepting new patients |
Locations
6157 Stoney Creek Dr
Fort Wayne, IN 46825
Phone (260) 570-4515
9910 DuPont Circle Dr E
Ste 140
Fort Wayne, IN 46825
Phone (260) 418-9653
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Fort Wayne, IN
- NPI 1780174177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1265714828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10716 WILD RIDGE PL",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468188801",
"telephone_number": "260-481-2700",
"fax_number": "260-481-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 E STATE BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468053404",
"telephone_number": "260-481-2700",
"fax_number": "260-481-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAFFEE",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.