Active NPI
John Jason Chastain, LICSW
- Clinical Social Worker
- Pasco, WA
National Provider Identifier
1457422917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60480977
- Practice address
- 9825 Sandifur Pkwy Ste D
Pasco, WA 99301-6738 - Phone
- (509) 531-6698
- Fax
- (509) 402-1176
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60480977 | WA | Primary |
Addresses
Primary practice location
9825 Sandifur Pkwy Ste D
Pasco, WA 99301-6738
Mailing address
9825 Sandifur Pkwy Ste D
Pasco, WA 99301-6738
Phone (509) 531-6698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60480977 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1457422917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 SANDIFUR PKWY STE D",
"city": "PASCO",
"state": "WA",
"postal_code": "993016738",
"telephone_number": "509-531-6698",
"fax_number": "509-402-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 SANDIFUR PKWY STE D",
"city": "PASCO",
"state": "WA",
"postal_code": "993016738",
"telephone_number": "509-531-6698",
"fax_number": "509-402-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "JOHN",
"middle_name": "JASON",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60480977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.