Ardin Parker Lingle Chastain, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008105 Issued in GA

Practice address

142 River Ter
Ellijay, GA 30540-5549

Phone

(770) 377-2084

NPI assigned

Dec 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ardin Baughman Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1376908046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 WESTWOODS DR",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403040",
            "telephone_number": "770-377-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 RIVER TER",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405549",
            "telephone_number": "770-377-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN",
        "first_name": "ARDIN",
        "middle_name": "PARKER LINGLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "008105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARDIN",
            "last_name": "BAUGHMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryant Physical Therapy
• Larry P Bryant, PT
• Exie Ruth Buffington, LPC
• Jeannette Burgess
• Sarah M Burnett, M.S., R.D., L,D.
• Krystal Clark
• Ronald Craig Clark, D.C., PH.D.
• Melonie Clemmons, O.D.
• Sandy Anderson Coleman
• Ivy Hope Colwell, BCBA

• Clinical Social Worker in Ellijay, GA
• Providers in Ellijay, 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 Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.