Provider Demographics
NPI:1144011081
Name:CHAMBERLIN, PAIGE MARIE (MSW)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:MARIE
Last Name:CHAMBERLIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 HEWITT ST
Mailing Address - Street 2:
Mailing Address - City:FORRESTON
Mailing Address - State:IL
Mailing Address - Zip Code:61030-9797
Mailing Address - Country:US
Mailing Address - Phone:815-990-3638
Mailing Address - Fax:
Practice Address - Street 1:708 HEWITT ST
Practice Address - Street 2:
Practice Address - City:FORRESTON
Practice Address - State:IL
Practice Address - Zip Code:61030-9797
Practice Address - Country:US
Practice Address - Phone:815-990-3638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker