Child Attachment and Recovery

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW Issued in CO

Legal business name

CHILD ATTACHMENT AND RECOVERY

Practice address

2150 Academy Cir
Suite C
Colorado Springs, CO 80909-1693

Phone

(719) 338-3537

Fax

(719) 358-8248

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Chandler Beal, M.S.W., L.C.S.W.NPI 1790985364

Title

Clinical Director

Phone

(719) 338-3537

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Chandler Beal, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1790985364
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374364800000",
    "number": "1386843647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 ACADEMY CIR",
            "address_2": "SUITE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091693",
            "telephone_number": "719-338-3537",
            "fax_number": "719-358-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 ACADEMY CIR",
            "address_2": "SUITE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091693",
            "telephone_number": "719-338-3537",
            "fax_number": "719-358-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD ATTACHMENT AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2013-07-21",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHANDLER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "719-338-3537",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "638171",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Chiasson
• Norma Chico-Madrid
• Nicole Chieka, DNP
• Calvin Nai Hsin Chien, ACUPUNCTURIST
• Child and Adolescent Clinic P.C.
• Child Community Services
• Child Community Services
• Child Community Services
• Child Community Services, LLC
• Child Development Center of Colorado Springs, Inc

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.