Jennifer Elizabeth Chaillie, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12849 Issued in AZ

Practice address

2152 S Vineyard BLDG 2 Ste 106
Mesa, AZ 85210

Phone

(480) 467-2471

Fax

(480) 467-2472

NPI assigned

Feb 25, 2011

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

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.

• The U-Turn Foundation

  • Adolescent and Children Mental Health Clinic/Center
  • Mesa, AZ
  • NPI 1396079703
  NPD (past)

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1881991925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD BLDG 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106871",
            "telephone_number": "480-467-2471",
            "fax_number": "480-467-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD BLDG 2 STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-467-2471",
            "fax_number": "480-467-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAILLIE",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "12849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ovidia Chacon Fierro, PT, DPT
• Chad M Cravatta DMD Ms PLLC
• Hyeyun Chae
• Jenna Chanel Chaffee
• Patti Kate Chagolla, MSW
• Chajoy House LLC
• Ashimava Chakladar, MD
• Rebecca Chalke, LAC
• Hayley N Chamberlain, AGPCNP-BC
• Gerard Brophy Chamberlin, MD

• Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.