Lalanea Chastain, MPA, MSW, LCSWA
Individual provider Active NPI Clinical Social Worker · Davidson, NC
NPI 1760062376 · NPPES record last updated Apr 9, 2021
Key facts
- NPI
- 1760062376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P015955 (NC)
- Practice address
- 903 Northeast Dr Ste 201
Davidson, NC 28036-7438 - Phone
- (704) 896-7776
- NPI assigned
- Apr 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11928 | KS | MD | Social Worker |
| P015955 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlake Counseling & Consulting | Clinical | Past |
Accepting new patients |
| Southlake Center for Self Discovery | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11928 | KS | |
| Clinical Social Worker | 1041C0700X | P015955 | NC | Yes |
Addresses
Primary practice location
903 Northeast Dr Ste 201
Davidson, NC 28036-7438
Mailing address
425 N Yale Ave
Wichita, KS 67208-3245
Phone (316) 821-5565
Other providers in Davidson, NC
- Kristin Cathcart
- Sarah Causey
- Patricia Celley
- Centia Health LLC
- Dianna Ridgely Chapman
- Rhonda Cheek
- Yongyue Chen
- Joseph Nnamdi Chukwu Jr.
- Clark Counseling, PLLC
- Erin M Clark
All providers in Davidson, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.