Active NPI
Carol Holmes-Chambers
- Social Worker
- Warren, OH
National Provider Identifier
1629689534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2106160
- Practice address
- 318 Mahoning Ave NW
Warren, OH 44483-4605 - Phone
- (330) 395-9563
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | S.2106160 | OH | Primary |
Addresses
Primary practice location
318 Mahoning Ave NW
Warren, OH 44483-4605
Mailing address
6224 Klines Dr
Girard, OH 44420-1257
Phone (330) 573-4549
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.2106160 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1629689534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6224 KLINES DR",
"city": "GIRARD",
"state": "OH",
"postal_code": "444201257",
"telephone_number": "330-573-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 MAHONING AVE NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444834605",
"telephone_number": "330-395-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES-CHAMBERS",
"first_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2106160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.