Emily F Chappell, LCSW, ACSW, ASW-G, C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

064097 Issued in NY

Practice address

3239 Route 112
Suite 5
Medford, NY 11763

Phone

(631) 672-9651

Fax

(631) 320-1779

NPI assigned

Nov 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Emily F. Leirer Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

State University of New York at Stony Brook, School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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.

• Emily Chappell, LCSW-R, P.C.

  • Clinical Social Worker
  • Medford, NY
  • NPI 1790220804
  NPD (past) Authorized official

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1447404033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 ROUTE 112",
            "address_2": "SUITE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "11763",
            "telephone_number": "631-672-9651",
            "fax_number": "631-320-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 ROUTE 112",
            "address_2": "SUITE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "11763",
            "telephone_number": "631-672-9651",
            "fax_number": "631-320-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "EMILY",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACSW, ASW-G, C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-09",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "10248",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "064097",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "064097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LEIRER",
            "middle_name": "F.",
            "prefix": "MS.",
            "credential": "LCSW, CASAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dawn Michelle Cassidy, LMSW
• Dennis Casula
• Catholic Charities of the Diocese of Rockville Centre
• Jessica Chandhok
• Hannah Lynn Chapman
• Natallie Charles
• Christine Cherpak-Castagna, DCN, CNS, CDN
• Chetna Chhikara, DDS
• Kelly A Chieppa, LPN
• Chioce Medical & Diagnositc Services PC

• Social Worker in Medford, NY
• Providers in Medford, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.