Individual provider Active NPI

David John Chamberlain Jr., LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1386336923
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121068 Issued in MI
Practice address
2650 Carpenter Rd
Ann Arbor, MI 48108-1108
Phone
(734) 971-1073
Fax
(734) 971-8545
NPI assigned
May 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 6801121068 MI Primary

Addresses

Primary practice location

2650 Carpenter Rd
Ann Arbor, MI 48108-1108

Mailing address

3109 Woodland Hills Dr Apt 24
Ann Arbor, MI 48108-4208
Phone (312) 731-6308

Other practice location 1

12851 Grand River Rd
Brighton, MI 48116-8506
Phone (810) 227-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20260127002501 MI Practitioner - Clinical Social Worker 3577040062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5200 Venture Dr
Ann Arbor, MI 48108-9561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801121068MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Packard Health, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Packard Health, Inc. CurrentSince Jan 12, 2026 Accepting new patients

Locations

2650 Carpenter Rd
Ann Arbor, MI 48108
Phone (734) 926-4921

200 Arnet St
Ste 150
Ypsilanti, MI 48198
Phone (734) 985-7200

200 Arnet St
Ste 110
Ypsilanti, MI 48198
Phone (734) 483-0404

Interoperability endpoints

  • FHIR API: https://arrprd.metrohealth.net/fhir/api/FHIR/R4
  • Direct secure messaging: dchamberlain1120727@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1386336923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 WOODLAND HILLS DR APT 24",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481084208",
            "telephone_number": "312-731-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CARPENTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081108",
            "telephone_number": "734-971-1073",
            "fax_number": "734-971-8545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12851 Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481168506",
            "country_code": "US",
            "telephone_number": "810-227-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.