Laura Elise Chamberlain, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9386717-3501 Issued in UT

Practice address

10815 S 700 E
Sandy, UT 84070-4702

Phone

(505) 436-0607

Fax

(801) 401-7850

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Sunrise Solutions

  • Clinical Social Worker
  • Draper, UT
  • NPI 1598112385
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1275726150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 S 700 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704702",
            "telephone_number": "505-436-0607",
            "fax_number": "801-401-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 S 700 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704702",
            "telephone_number": "505-436-0607",
            "fax_number": "801-401-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "LAURA",
        "middle_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9386717-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Cavallo, DPT
• Robin Leroy Cecil, PT, DPT
• Center for Facial Appearances, Inc.
• Center for Trauma, Recovery, and Wellness
• Central Fossa LLC (Creek Road Dental Care)
• Daniel Chan
• Carrie Ann Chandler, APRN FNP
• Nathan Eric Chandler, DDS
• Christy Chang Messerich
• Changes Counseling & Consultation, LLC

• Clinical Social Worker in Sandy, UT
• Providers in Sandy, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.