Active NPI
Jamie J Chapin, MSW
- Clinical Social Worker
- Evergreen, CO
National Provider Identifier
1578095279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34009446A
- Practice address
- 34507 Squaw Pass Rd
Evergreen, CO 80439-9727 - Phone
- (720) 642-6880
- NPI assigned
- Mar 31, 2017
- Last updated
- Oct 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28629 | MN | |
| Clinical Social Worker | 1041C0700X | 9708-123 | WI | |
| Clinical Social Worker | 1041C0700X | 34009446A | IN | Primary |
Addresses
Primary practice location
34507 Squaw Pass Rd
Evergreen, CO 80439-9727
Mailing address
34507 Squaw Pass Rd
Evergreen, CO 80439-9727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TN, CO, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Appleton, WI 54913
Phone (800) 475-0711
Boulder, CO 80302
Phone (800) 475-0711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110096 | TX | MD | Speech-Language Pathologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1578095279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34507 SQUAW PASS RD",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804399727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34507 SQUAW PASS RD",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804399727",
"telephone_number": "720-642-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPIN",
"first_name": "JAMIE",
"middle_name": "J",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "28629",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9708-123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34009446A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen, CO
- Catholic Health Initiatives Colorado (Evgn Primary Care)
- Center Group Holdings LLC
- Jill Chamberlin, OTR
- Erika Chamblin
- Jeni Ami Chang, PT, DPT
- Sandra Chelist, SANDY CHELIST
- Nathan P Cherof, D.M.D.
- Children's Physiotherapy Alliance
- Christina Boehmer, Speech-Language Pathology LLC
- Kristen Cipielewski, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.