Individual provider Active NPI

Tamara Jean Chaffin

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1386772408
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW101224 Issued in CA
Practice address
520 Scenic Dr
Santa Barbara, CA 93103-2925
Phone
(661) 747-1935
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 101224 CA
Clinical Social Worker 1041C0700X LCSW101224 CA Primary

Addresses

Primary practice location

520 Scenic Dr
Santa Barbara, CA 93103-2925

Mailing address

520 Scenic Dr
Santa Barbara, CA 93103-2925
Phone (661) 747-1935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220224002105 CA Practitioner - Clinical Social Worker 6305230913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empower TCT IncGroup PAC ID 1052766334, 2 clinicians

Practice addresses (Care Compare)

11545 Los Osos Valley Rd
Suite C4
San Luis Obispo, CA 93405-6414
Phone (805) 266-3231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101224CAMDClinical Social Worker
LCSW101224CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empower TCT Inc Clinical CurrentSince Oct 1, 2023 Accepting new patients
Empower TCT LLC CurrentSince May 2, 2022 Accepting new patients

Locations

330 James Way
Ste 180
Pismo Beach, CA 93449
Phone (805) 266-3231

11545 Los Osos Valley Rd
Ste C4
San Luis Obispo, CA 93405
Phone (805) 266-3231

Interoperability endpoints

  • Direct secure messaging: tamara.chaffin.1@25119.direct.athenahealth.com

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1386772408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SCENIC DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032925",
            "telephone_number": "661-747-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SCENIC DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032925",
            "telephone_number": "661-747-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFIN",
        "first_name": "TAMARA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-11-07",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101224",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW101224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.