Active NPI
Breanna Chambliss
- School Social Worker
- Henderson, KY
National Provider Identifier
1962977215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 2600 Zion Rd
Henderson, KY 42420-4886 - Phone
- (270) 831-8570
- NPI assigned
- Oct 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | KY | Primary |
Addresses
Primary practice location
2600 Zion Rd
Henderson, KY 42420-4886
Mailing address
4076 Shady Hollow Dr
Henderson, KY 42420-9275
Phone (301) 616-0243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womensafe, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/womensafe/r4/
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Chardon, OH
- NPI 1881661718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1962977215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4076 SHADY HOLLOW DR",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424209275",
"telephone_number": "301-616-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 ZION RD",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424204886",
"telephone_number": "270-831-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBLISS",
"first_name": "BREANNA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-12",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.