Individual provider Active NPI

Sandra Ann Chaplain, LCSW

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1871678599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R0277651 Issued in NY
Practice address
26 Court Street
Suite 2604
Brooklyn, NY 11242-1126
Phone
(718) 488-7977
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R0277651 NY Primary

Addresses

Primary practice location

26 Court Street
Suite 2604
Brooklyn, NY 11242-1126

Mailing address

26 Court Street
Suite 2604
Brooklyn, NY 11242-1126
Phone (718) 488-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050422000571 NY Practitioner - Clinical Social Worker 6800834516 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 Court St
Brooklyn, NY 11242-1126
Phone (718) 488-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0277651NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871678599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT STREET",
            "address_2": "SUITE 2604",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421126",
            "telephone_number": "718-488-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT STREET",
            "address_2": "SUITE 2604",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421126",
            "telephone_number": "718-488-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPLAIN",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R0277651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.