Carlton Douglas Chastain
Individual provider Active NPI Peer Specialist · Port Angeles, WA
NPI 1366919516 · NPPES record last updated Feb 14, 2022
Key facts
- NPI
- 1366919516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 118 E 8TH St
Port Angeles, WA 98362-6129 - Phone
- (360) 457-0431
- NPI assigned
- Oct 25, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
118 E 8TH St
Port Angeles, WA 98362-6129
Mailing address
118 E 8TH St
Port Angeles, WA 98362-6129
Phone (360) 457-0431
Other providers in Port Angeles, WA
- Darren Thomas Chapman
- Roberta L Charles
- Roxanne Irene Charles
- Diane Lori Charron
- Nicholas Everett Chasler
- Sherrie L Chatzkel
- Julie Nicole Chevillet
- Shannon Chierichetti
- Olivia Ann Chilcote
- Elizabeth Emily Christian
All providers in Port Angeles, WA · Peer Specialist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.