Individual provider Active NPI

Reia Chapman, MSW, LCSW

  • Clinical Social Worker
  • Salisbury, NC
National Provider Identifier
1356686067
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009471 Issued in NC
Practice address
155 Dove LN
Salisbury, NC 28147-7844
Phone
(980) 495-6305
Fax
(980) 495-6535
NPI assigned
Dec 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10980 SC
Clinical Social Worker 1041C0700X C009471 NC Primary

Addresses

Primary practice location

155 Dove LN
Salisbury, NC 28147-7844

Mailing address

155 Dove LN
Salisbury, NC 28147-7844
Phone (980) 495-6305

Other identifiers 1

IdentifierTypeStateIssuer
1356686067MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • 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
I20160912002665 NC Practitioner - Clinical Social Worker 7315233640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009471NCMDClinical Social Worker
10980SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Counseling Cafe' Corporation Clinical PastSince Feb 2, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1356686067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 DOVE LN",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281477844",
            "telephone_number": "980-495-6305",
            "fax_number": "980-495-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DOVE LN",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281477844",
            "telephone_number": "980-495-6305",
            "fax_number": "980-495-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "REIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10980",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356686067",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.