Healthcare Provider Details

I. General information

NPI: 1346741600
Provider Name (Legal Business Name): JANELL CLAUDETTE CHATMAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 S US HWY 41 GIBAULT CARE, INC.
TERRE HAUTE IN
47802-4749
US

IV. Provider business mailing address

6401 S US HWY 41 GIBAULT CARE
TERRE HAUTE IN
47802-4749
US

V. Phone/Fax

Practice location:
  • Phone: 812-299-1156
  • Fax: 812-299-0118
Mailing address:
  • Phone: 812-299-1156
  • Fax: 812-299-0118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: