Individual provider Active NPI

Carin C Chattin, MA, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1891022489
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072179 Issued in NY
Practice address
2350 E Ridge Rd
Rochester, NY 14622-2721
Phone
(585) 339-1528
Fax
(585) 339-1449
NPI assigned
Nov 3, 2009
Last updated
Nov 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072179 NY Primary
School Social Worker 1041S0200X

Addresses

Primary practice location

2350 E Ridge Rd
Rochester, NY 14622-2721

Mailing address

2350 E Ridge Rd
Rochester, NY 14622-2721
Phone (585) 339-1528

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
I20120830000078 NY Practitioner - Clinical Social Worker 1951558733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
072179NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ontario County Clinical Current Accepting new patients

Locations

3019 County Complex Dr
Canandaigua, NY 14424
Phone (585) 396-4363

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": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1891022489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222721",
            "telephone_number": "585-339-1528",
            "fax_number": "585-339-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222721",
            "telephone_number": "585-339-1528",
            "fax_number": "585-339-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTIN",
        "first_name": "CARIN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MA, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072179",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.