Elizabeth Drake Chatlin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1324943501 Issued in UT

Practice address

241 N Vine St
#807-East
Salt Lake City, UT 84103-1962

Phone

(801) 532-4464

NPI assigned

May 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1639304884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 N VINE ST",
            "address_2": "#807-EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031962",
            "telephone_number": "801-532-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N VINE ST",
            "address_2": "#807-EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031962",
            "telephone_number": "801-532-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATLIN",
        "first_name": "ELIZABETH",
        "middle_name": "DRAKE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1324943501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendal Chatard
• Chateau Brickyard Management LLC
• Chateau Brickyard Operations LLC
• Chateau Brickyard, Inc.
• Shaun Chatelain, D.O.
• Eric B Chatterley, PA-C
• Kara Chaudhary, MD
• Mithu Chaudhury, DO
• Muhammad Ahmed Nabeel Chauhan, M.D.
• David Carlson Chaulk, MD

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.