Active NPI
Mark George Chapin, PH.D., LISW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1710177704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-7114
- Practice address
- Wramc BLDG 2, Department of Social Work
6900 Georgia Ave. NW
Washington, DC 20307-0001 - Phone
- (202) 782-6378
- Fax
- (202) 782-4922
- NPI assigned
- Jul 26, 2007
- Last updated
- Jul 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-7114 | OH | Primary |
Addresses
Primary practice location
Wramc BLDG 2, Department of Social Work
6900 Georgia Ave. NW
Washington, DC 20307-0001
Mailing address
Wramc BLDG 2, Room 2J38
6900 Georgia Ave. NW
Washington, DC 20307-0001
Phone (202) 782-7250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I-7114 | Other | OH | STATE OF OHIO COUNSELOR, |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-7114 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1710177704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WRAMC BLDG 2, ROOM 2J38",
"address_2": "6900 GEORGIA AVE. NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "202-782-7250",
"fax_number": "202-782-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WRAMC BLDG 2, DEPARTMENT OF SOCIAL WORK",
"address_2": "6900 GEORGIA AVE. NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "202-782-6378",
"fax_number": "202-782-4922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPIN",
"first_name": "MARK",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "PH.D., LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-7114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OHIO COUNSELOR,",
"identifier": "I-7114",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.