MEDICARE: CHANDLER MASSENGALE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1144933375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANDLER MASSENGALE, LLC

Provider Business Mailing Address
First Line	:	637 WANTOOT BLVD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-6630
Country	:	US
Telephone Number	:	843-410-3462
Fax Number	:

Provider Business Practice Location Address
First Line	:	3265 N CAROLINA AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-5819
Country	:	US
Telephone Number	:	843-410-3462
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	CHANDLER MASSENGALE
Credential	:	LISW-CP
Telephone Number	:	843-410-3462

Provider Enumeration Date	:	01/03/2023
Last Update Date	:	12/22/2024

Similar Medicare Providers

1629693007 — CHANDLER MASSENGALE LISW-CP
Practice Location Address:

3265 N CAROLINA AVE
NORTH CHARLESTON, SC
29405-5819

Practice Phone: 843-410-3462
Practice Fax:

1689971350 — CHOW & TRAN PARTNERSHIP, PLLC
Practice Location Address:

6935 ALIANTE PKWY STE 102
NORTH LAS VEGAS, NV
89084-5819

Practice Phone: 702-685-4320
Practice Fax: 702-685-4583

1588138010 — ANTIOCH COMMUNITY SERVICES INC.
Practice Location Address:

6935 ALIANTE PKWY STE 109
NORTH LAS VEGAS, NV
89084-5819

Practice Phone: 702-655-4227
Practice Fax:

1487215257 — DR. KATHLEEN CHLOE MARGAJA MASCARDO DMD, MMSC
Practice Location Address:

682 DEPOT ST SUITE A
NORTH EASTON, MA
02356-5819

Practice Phone: 508-586-6002
Practice Fax:

1609584531 — I'LL MEET YOU THERE LLC
Practice Location Address:

6935 ALIANTE PKWY STE 104
NORTH LAS VEGAS, NV
89084-5819

Practice Phone: 702-849-3178
Practice Fax:

1114553377 — KRISTINA MARIE BARRY LPC, LPCS-C
Practice Location Address:

2154 NOISETTE BLVD UNIT 226
NORTH CHARLESTON, SC
29405-2059

Practice Phone: 843-670-3093
Practice Fax:

Directions to “CHANDLER MASSENGALE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.