Active NPI
Heather Swain Chase, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1770507568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12927
- Practice address
- 1001 Cathedral St
Baltimore, MD 21201-5403 - Phone
- (410) 837-2050
- Fax
- (410) 837-7793
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12927 | MD | |
| Clinical Social Worker | 1041C0700X | 12927 | MD | Primary |
Addresses
Primary practice location
1001 Cathedral St
Baltimore, MD 21201-5403
Mailing address
1001 Cathedral St
Baltimore, MD 21201-5403
Phone (410) 837-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132190100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12927 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1770507568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CATHEDRAL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015403",
"telephone_number": "410-837-2050",
"fax_number": "410-837-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CATHEDRAL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015403",
"telephone_number": "410-837-2050",
"fax_number": "410-837-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "HEATHER",
"middle_name": "SWAIN",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "12927",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132190100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.