Individual provider Active NPI

Chandra Denise Fears, LCSW

  • Clinical Social Worker
  • Dalton, GA
National Provider Identifier
1437124708
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1530 Issued in GA
Practice address
475 Reed Rd Ste 104
Dalton, GA 30720-6307
Phone
(706) 529-8710
Fax
(706) 529-8715
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 1530 GA Primary

Addresses

Primary practice location

475 Reed Rd Ste 104
Dalton, GA 30720-6307

Mailing address

475 Reed Rd Ste 104
Dalton, GA 30720-6307
Phone (706) 529-8710

Other practice location 1

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1530GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Medical Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients

Locations

475 Reed Rd
Ste 104
Dalton, GA 30720
Phone (706) 278-1622

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

Organizations & group practices 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1437124708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 REED RD STE 104",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307206307",
            "telephone_number": "706-529-8710",
            "fax_number": "706-529-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 REED RD STE 104",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307206307",
            "telephone_number": "706-529-8710",
            "fax_number": "706-529-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307202529",
            "country_code": "US",
            "telephone_number": "706-272-5650",
            "fax_number": "706-272-6562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEARS",
        "first_name": "CHANDRA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.