Amanda Darlene Mae Chapman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33006417A Issued in IN

Practice address

215 Rainbow Way
Jeffersonville, IN 47130-5374

Phone

(812) 284-1760

Fax

(812) 288-6853

NPI assigned

Apr 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Ark, Inc.

  • Foster Care Agency
  • Jeffersonville, IN
  • NPI 1215210075
  NPD (past)

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699139550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NOAH'S LANE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305374",
            "telephone_number": "812-284-1760",
            "fax_number": "812-288-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RAINBOW WAY",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305374",
            "telephone_number": "812-284-1760",
            "fax_number": "812-288-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "AMANDA",
        "middle_name": "DARLENE MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "6456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33006417A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Chaddic, LCSW
• Chah
• Champion Medical
• Roy Chandler, RBT
• Bayleigh Gayle Chaney, RBT
• Kelsey Chapman, BS
• Tammy Chappell, LCSW
• Uzma Ahmad Chaudhry, MD
• Zara Arsh Chaudhry, PHARMD, RPH
• Teresa Chavez, P.T.A

• Clinical Social Worker in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.