Provider Demographics
NPI:1932636628
Name:CHILTON, ROBERT JR (LMSW)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:CHILTON
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 7TH ST N STE 8
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39701-4683
Mailing Address - Country:US
Mailing Address - Phone:662-435-5703
Mailing Address - Fax:
Practice Address - Street 1:501 7TH ST N STE 8
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39701-4683
Practice Address - Country:US
Practice Address - Phone:662-435-5703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA104621041C0700X
WALW616084401041C0700X
MSC-117281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical