Organization Active NPI

Chaffee Consulting, Inc.

  • Clinical Social Worker
  • Fort Wayne, IN
National Provider Identifier
1780174177
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007666A Issued in IN
Legal business name
CHAFFEE CONSULTING, INC.
Practice address
9910 Dupont Circle Dr E
Fort Wayne, IN 46825-1617
Phone
(260) 570-4515
Fax
(260) 209-0762
NPI assigned
May 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Courtney Elizabeth Chaffee, MSW, LCSWNPI 1265714828
Title
Sole Proprietor
Phone
(260) 804-4544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34007666A IN Primary

Addresses

Primary practice location

9910 Dupont Circle Dr E
Fort Wayne, IN 46825-1617

Mailing address

6721 Hillsboro LN
Fort Wayne, IN 46835-1824
Phone (260) 804-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230921003867 IN Part B Supplier - Clinic/Group Practice 9335593573 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory

Locations

9910 DuPont Circle Dr E
Fort Wayne, IN 46825
Phone (260) 570-4515

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1780174177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 HILLSBORO LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468351824",
            "telephone_number": "260-804-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 DUPONT CIRCLE DR E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251617",
            "telephone_number": "260-570-4515",
            "fax_number": "260-209-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAFFEE CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "CHAFFEE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "260-804-4544",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007666A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.