Chatham Behavioral LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHATHAM BEHAVIORAL LLC

Practice address

6605 Abercorn St Ste 101F
Savannah, GA 31405-5896

Phone

(912) 412-2532

NPI assigned

Oct 26, 2020

Last updated

Oct 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michael Wesley Mack Jr., LCSWNPI 1710239876

Title

Managing Partner

Phone

(912) 412-2532

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Wesley Mack Jr., LCSW

  • Clinical Social Worker
  • Savannah, GA
  • NPI 1710239876
  NPD Authorized official

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1295334795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 ABERCORN ST STE 101F",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055896",
            "telephone_number": "912-412-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 ABERCORN ST STE 101F",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055896",
            "telephone_number": "912-412-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "912-412-2532",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R. Fana Jr., DMD PC
• Kenitra Kiama Charles, CPHT
• Marcella R Charles, RN, BSN
• Charleston Vamc
• Breanna Marie Chase
• Chatham Chiropractic & Integrated Health Services, LLC (Chatham Clinical Services)
• Chatham Co Health Dept
• Chatham County Board of Commission
• Chatham County Board of Health (Chatham County Health Department)
• Chatham County Board of Health (Chatham County Health Department-IDC)

• Clinical Social Worker in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.