Individual provider Active NPI

Alexander D. Chatfield, LICSW

  • Clinical Social Worker
  • Concord, MA
National Provider Identifier
1649459249
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1022260 Issued in MA
Practice address
1269 Main St
Concord, MA 01742-3099
Phone
(978) 287-7800
Fax
(978) 287-7801
NPI assigned
Oct 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1022260 MA Primary

Addresses

Primary practice location

1269 Main St
Concord, MA 01742-3099

Mailing address

1269 Main St
Concord, MA 01742-3099
Phone (978) 287-7800

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

LicenseStateTypeSpecialty
1022260MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1649459249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423099",
            "telephone_number": "978-287-7800",
            "fax_number": "978-287-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423099",
            "telephone_number": "978-287-7800",
            "fax_number": "978-287-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATFIELD",
        "first_name": "ALEXANDER",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1022260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.