Chamberlain Family Therapy

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I9800-S Issued in OH

Legal business name

CHAMBERLAIN FAMILY THERAPY

Practice address

906 N. Court St. Suite C
Circleville, OH 43113

Phone

(740) 477-1700

Fax

(740) 477-1746

NPI assigned

Aug 17, 2010

Last updated

Aug 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Connie Irene Chamberlain, MSW, LISW-S

Title

Family Therapist/Owner

Phone

(740) 477-1700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1760797542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1176",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "43113",
            "telephone_number": "740-477-1700",
            "fax_number": "740-477-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N. COURT ST. SUITE C",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "43113",
            "telephone_number": "740-477-1700",
            "fax_number": "740-477-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBERLAIN FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "FAMILY THERAPIST/OWNER",
        "authorized_official_telephone_number": "740-477-1700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LISW-S"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I9800-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Circleville, OH
• Providers in Circleville, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.