Susan L Chace, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CW014129 Issued in PA

Practice address

10125 Verree Rd Suite 304
Jewish Family and Childrens Service
Philadelphia, PA 19116

Phone

(215) 673-0100

Fax

(215) 934-6284

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jewish Family & Childrens Serv

  • Community/Behavioral Health Agency
  • Bala Cynwyd, PA
  • NPI 1639231012
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780739615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 RODGERS RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271325",
            "telephone_number": "215-782-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 VERREE RD SUITE 304",
            "address_2": "JEWISH FAMILY AND CHILDRENS SERVICE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "215-673-0100",
            "fax_number": "215-934-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACE",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW014129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000008810009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asli Cevik, MA
• Amy I Cha, MD
• Rami Chabban
• Ranjeev Chabra, M.D.
• Tinatin Chabrashvili, M.D.
• Chelsey Chachoute, MD
• Regine Chachoute, RN
• Ana Chachua, MD
• Beena Chacko, CRNP
• George Chacko, MD

• Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.