Individual provider Active NPI

Chase B Spiegel, MSW, CMSW, LMSW

  • Social Worker
  • Memphis, TN
National Provider Identifier
1275648198
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6371 Issued in TN
Practice address
1716 Autumn Ave
Memphis, TN 38112-5326
Phone
(901) 206-4131
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1707-M AR
Social Worker 104100000X 6371 TN Primary

Addresses

Primary practice location

1716 Autumn Ave
Memphis, TN 38112-5326

Mailing address

1910 Madison Ave # 3051
Memphis, TN 38104-2620
Phone (901) 206-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200528000987 TN Practitioner - Clinical Social Worker 9739500869 Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2055 Evelyn Ave
Memphis, TN 38104-5603

902 S Cooper St
Memphis, TN 38104-5603
Phone (901) 206-4131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1707-MARMDSocial Worker
6371TNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1275648198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 MADISON AVE # 3051",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042620",
            "telephone_number": "901-206-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 AUTUMN AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381125326",
            "telephone_number": "901-206-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEGEL",
        "first_name": "CHASE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MSW, CMSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "1707-M",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "6371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.