Chantice Blair, BSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

165 W Hospitality LN Ste 11
San Bernardino, CA 92408-3322

Phone

(909) 300-2622

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Chantice S Blair Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1568294593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W HOSPITALITY LN STE 11",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083322",
            "telephone_number": "909-300-2622",
            "fax_number": "909-619-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W HOSPITALITY LN STE 11",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083322",
            "telephone_number": "909-300-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "CHANTICE",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTICE",
            "last_name": "BLAIR",
            "middle_name": "S",
            "prefix": "MS.",
            "credential": "BSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lashawn Blackmon Lucas, LMFT
• Brooklyn Lanay Blackmon
• Devonda Blackmon
• Rian James Blackwood, DO
• Sparkle L Blackwood
• Nakea S Blair, CATC II
• Crystal Lynn Blakkan
• Candice Blanco
• Frances Blanco, LCSW
• Gabriel Blanco

• Social Worker in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.