Provider Demographics
NPI:1275648198
Name:SPIEGEL, CHASE B (MSW, CMSW, LMSW)
Entity Type:Individual
Prefix:MS
First Name:CHASE
Middle Name:B
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:MSW, CMSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 MADISON AVE # 3051
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-2620
Mailing Address - Country:US
Mailing Address - Phone:901-206-4131
Mailing Address - Fax:
Practice Address - Street 1:1716 AUTUMN AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-5326
Practice Address - Country:US
Practice Address - Phone:901-206-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1707-M104100000X
TN6371104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker