Active NPI
Katie Chandler
- Social Worker
- Dayton, OH
National Provider Identifier
1639754815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2005615
- Practice address
- 829 S Gettysburg Ave
Dayton, OH 45417-3569 - Phone
- (937) 262-4633
- NPI assigned
- Mar 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2005615 | OH | Primary |
Addresses
Primary practice location
829 S Gettysburg Ave
Dayton, OH 45417-3569
Mailing address
829 S Gettysburg Ave
Dayton, OH 45417-3569
Phone (937) 262-4633
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.2005615 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1639754815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 S GETTYSBURG AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173569",
"telephone_number": "937-262-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 S GETTYSBURG AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173569",
"telephone_number": "937-262-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2005615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.