Individual provider Active NPI

Chloe M Van Blair, LISW

  • Social Worker
  • Davenport, IA
National Provider Identifier
1770312977
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2826 W Locust St
Davenport, IA 52804-3354
Phone
(563) 332-8528
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2826 W Locust St
Davenport, IA 52804-3354

Mailing address

3237 Crestline Dr
Davenport, IA 52803-3518
Phone (563) 210-7144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821001798 IL Practitioner - Clinical Social Worker 1951801323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Robert Young Center for Community Mental HealthGroup PAC ID 4587600150, 54 clinicians

Practice addresses (Care Compare)

2200 3Rd Ave
Rock Island, IL 61201-8840
Phone (309) 779-2094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Robert Young Center for Community Mental Health Current Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Jun 19, 2025 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Jun 19, 2025 Accepting new patients

Locations

4600 3rd St
Moline, IL 61265
Phone (309) 779-3000

2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970

2200 3rd Ave
Rock Island, IL 61201
Phone (309) 779-2094

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1770312977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 CRESTLINE DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528033518",
            "telephone_number": "563-210-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 W LOCUST ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528043354",
            "telephone_number": "563-332-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BLAIR",
        "first_name": "CHLOE",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.