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MS. ELIZA CABOT CHAMBLIN LCSW
NPI 1295285013
Social Worker - Clinical in Brooklyn, NY

Active since October 04, 2016Opted out of Medicare · through Apr 15, 2028
162 W 9TH ST, APARTMENT 2, BROOKLYN, NY 11231(610) 405-6510 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Eliza Cabot Chamblin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELIZA CABOT CHAMBLIN LCSW (NPI 1295285013) is an individual clinical provider in Brooklyn, New York, licensed in New York (084804) and active in the NPI registry since October 2016. She has opted out of Medicare through April 15, 2028.

NPPES Registry Identity

NPI1295285013
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. ELIZA CABOT CHAMBLINCredential: LCSW
Location Address162 W 9TH ST, APARTMENT 2Brooklyn, NY 11231-3904
Mailing Address162 W 9th St, Apartment 2Brooklyn, NY 11231-3904 · (610) 405-6510
Phone(610) 405-6510
Sole ProprietorYes
Enumeration DateOctober 4, 2016
✔ NPI 1295285013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 084804
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
162 W 9TH ST, Brooklyn, NY 11231
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Ms. Eliza Cabot Chamblin Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 15, 2024 through April 15, 2028.

Opt-Out Effective DateApril 15, 2024
Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eliza Chamblin's NPI number?

The NPI number for Eliza Chamblin is 1295285013. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Eliza Chamblin located?

Eliza Chamblin practices at 162 W 9th St Apartment 2, Brooklyn, NY 11231. The listed phone number is (610) 405-6510.

What is Eliza Chamblin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Eliza Chamblin enrolled in Medicare?

No. Eliza Chamblin has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Eliza Chamblin was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.