Amber Chastine

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06296800 Issued in NJ

Practice address

6712 Washington Ave
Egg Harbor Township, NJ 08234-1999

Phone

(609) 889-8100

NPI assigned

Jan 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Amber Ethenridge Former name

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.

• Where Families Thrive

  • Mental Health Counselor
  • Egg Harbor Township, NJ
  • NPI 1457972739
  NPD (past)
• Where Families Thrive Inc

  • Mental Health Counselor
  • Cherry Hill, NJ
  • NPI 1063971331
  NPD (past)

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1700547627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 CARNATION CT",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224856169",
            "telephone_number": "757-812-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 WASHINGTON AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082341999",
            "telephone_number": "609-889-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTINE",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "SW-GTL-20-01131",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06296800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "ETHENRIDGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mercelena Chang-Callejas
• Juliet Chang
• Ryan Channick, M.D.
• Charles M Richwine IV DO, Lori Tierno Richwine DO PC
• Paolla Charles
• Manpreet Kaur Chawla
• Neha Roshan Chawla
• Vincent Chen
• Kathleen Cherry
• Andrew Cheung, PHARM.D.

• Clinical Social Worker in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.