Individual provider Active NPI

Shameelah Chambliss, LCSW

  • Clinical Social Worker
  • Helotes, TX
National Provider Identifier
1497328975
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64897 Issued in TX
Practice address
10614 Tansy Cyn
Helotes, TX 78023-5801
Phone
(210) 324-7858
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64897TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inpathy Behavioral Healthcare Group LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shameelah.chambliss.1@24284.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 64897 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

10614 Tansy Cyn
Helotes, TX 78023-5801

Mailing address

10614 Tansy Cyn
Helotes, TX 78023-5801
Phone (210) 324-7858

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2021.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1497328975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 TANSY CYN",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780235801",
            "telephone_number": "210-324-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 TANSY CYN",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780235801",
            "telephone_number": "210-324-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLISS",
        "first_name": "SHAMEELAH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.