Individual provider Active NPI

Heather Chamberlin-Scholle, LCSW

  • Clinical Social Worker
  • Camarillo, CA
National Provider Identifier
1790016384
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23457 Issued in CA
Practice address
333 N Lantana St
Suite 122
Camarillo, CA 93010-9010
Phone
(805) 432-7418
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS23457 CA Primary

Addresses

Primary practice location

333 N Lantana St
Suite 122
Camarillo, CA 93010-9010

Mailing address

333 N Lantana St
Suite 122
Camarillo, CA 93010-9010
Phone (805) 432-7418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS23457CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1790016384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N LANTANA ST",
            "address_2": "SUITE 122",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109010",
            "telephone_number": "805-432-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N LANTANA ST",
            "address_2": "SUITE 122",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109010",
            "telephone_number": "805-432-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLIN-SCHOLLE",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.