Individual provider Active NPI

Nancy Elizabeth Chancey, LCSW

  • Clinical Social Worker
  • Blue Ridge, GA
National Provider Identifier
1679686729
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW002895 Issued in GA
Practice address
40 Highland Cir
Blue Ridge, GA 30513-3602
Phone
(706) 258-3219
Fax
(706) 258-3219
NPI assigned
Aug 15, 2006
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 CSW002895 GA Primary

Addresses

Primary practice location

40 Highland Cir
Blue Ridge, GA 30513-3602

Mailing address

40 Highland Cir
Blue Ridge, GA 30513-3602
Phone (706) 258-3219

Other identifiers 1

IdentifierTypeStateIssuer
003203363AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000404 GA Practitioner - Clinical Social Worker 3971535535 Practice locations: Blue Ridge, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Highland Cir
Blue Ridge, GA 30513-3602
Phone (706) 258-3219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW002895GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Healing Concepts, LLC Clinical CurrentSince Jul 1, 2022 Accepting new patients

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1679686729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HIGHLAND CIR",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305133602",
            "telephone_number": "706-258-3219",
            "fax_number": "706-258-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HIGHLAND CIR",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305133602",
            "telephone_number": "706-258-3219",
            "fax_number": "706-258-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCEY",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003203363A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.