Individual provider Active NPI

Chanda Camden, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1336289453
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2437-C Issued in AR
Practice address
401 W Capitol Ave
Suite 301
Little Rock, AR 72201-3421
Phone
(501) 975-0009
Fax
(501) 975-0009
NPI assigned
Feb 7, 2007
Last updated
Oct 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1809-M AR
Clinical Social Worker 1041C0700X 2437-C AR Primary

Addresses

Primary practice location

401 W Capitol Ave
Suite 301
Little Rock, AR 72201-3421

Mailing address

401 W Capitol Ave
Suite 301
Little Rock, AR 72201-3421
Phone (501) 975-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1809-MARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiration Day Treatment, Inc. PastSince Aug 1, 2010 Accepting new patients
Chanda Camden, LCSW, P.a. Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1336289453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W CAPITOL AVE",
            "address_2": "SUITE 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013421",
            "telephone_number": "501-975-0009",
            "fax_number": "501-975-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W CAPITOL AVE",
            "address_2": "SUITE 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013421",
            "telephone_number": "501-975-0009",
            "fax_number": "501-975-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMDEN",
        "first_name": "CHANDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "1809-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2437-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.