Provider Demographics
NPI:1255087227
Name:CHAMBERS, DAVID JAMES (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JAMES
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 PRATHER LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-6717
Mailing Address - Country:US
Mailing Address - Phone:513-203-0063
Mailing Address - Fax:
Practice Address - Street 1:2005 PRATHER LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-6717
Practice Address - Country:US
Practice Address - Phone:713-492-4715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX688861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical