Individual provider Active NPI

Tiffany Baker-Chapman, LCSW

  • Clinical Social Worker
  • Knightdale, NC
National Provider Identifier
1922592260
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2001 Widewaters Pkwy Ste A401
Knightdale, NC 27545-7324
Phone
(919) 578-2613
Fax
(919) 944-4287
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 Primary

Addresses

Primary practice location

2001 Widewaters Pkwy Ste A401
Knightdale, NC 27545-7324

Mailing address

2001 Widewaters Pkwy Ste A401
Knightdale, NC 27545-7324
Phone (919) 578-2613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230725003592 NC Practitioner - Clinical Social Worker 9638530587 Reassigns benefits to 1 organization
I20231129003725 DC Practitioner - Clinical Social Worker 9638530587 Reassigns benefits to 1 organization
I20240819004162 SC Practitioner - Clinical Social Worker 9638530587 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jun 21, 2023 Accepting new patients
Baker Therapy & Consulting Services, PLLC Clinical CurrentSince Jun 1, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

600 Park Offices Dr
Ste 300
Durham, NC 27713
Phone (919) 260-3260

2001 Widewaters Pkwy
Ste A401
Knightdale, NC 27545
Phone (919) 578-2613

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1922592260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WIDEWATERS PKWY STE A401",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457324",
            "telephone_number": "919-578-2613",
            "fax_number": "919-944-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WIDEWATERS PKWY STE A401",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457324",
            "telephone_number": "919-578-2613",
            "fax_number": "919-944-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER-CHAPMAN",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.