Individual provider Active NPI

Lauren Chatellier, LCSW

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1306505490
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-19178 Issued in AZ
Practice address
10601 N Hayden Rd Ste 108
Scottsdale, AZ 85260-5570
Phone
(480) 382-4798
NPI assigned
Dec 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-19178 AZ Primary

Addresses

Primary practice location

10601 N Hayden Rd Ste 108
Scottsdale, AZ 85260-5570

Mailing address

10055 E Mountainview Lake Dr Unit 2043
Scottsdale, AZ 85258-6320
Phone (480) 280-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-19178AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1306505490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 E MOUNTAINVIEW LAKE DR UNIT 2043",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852586320",
            "telephone_number": "480-280-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 N HAYDEN RD STE 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605570",
            "telephone_number": "480-382-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATELLIER",
        "first_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.