Individual provider Active NPI

McClain Chiles

  • Social Worker
  • Broomfield, CO
National Provider Identifier
1851164719
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0009925096 Issued in CO
Practice address
3303 W 144TH Ave Unit 204
Broomfield, CO 80023-9601
Phone
(719) 331-5344
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 0009925096 CO Primary

Addresses

Primary practice location

3303 W 144TH Ave Unit 204
Broomfield, CO 80023-9601

Mailing address

3303 W 144TH Ave Unit 204
Broomfield, CO 80023-9601
Phone (720) 709-2810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260626004166 CO Practitioner - Clinical Social Worker 4789157033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ThornwoodwellnessllcGroup PAC ID 4284094137, 17 clinicians

Practice addresses (Care Compare)

3303 W 144TH Ave
Unit 204
Broomfield, CO 80023-9601
Phone (720) 709-2810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009925096COMDSocial Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1851164719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 W 144TH AVE UNIT 204",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239601",
            "telephone_number": "720-709-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W 144TH AVE UNIT 204",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239601",
            "telephone_number": "719-331-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILES",
        "first_name": "MCCLAIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009925096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.