Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ponniece Champlin

Individual provider Clinical Social Worker · NPI 1700249513

Ponniece Champlin is a Clinical Social Worker in Brockton, Massachusetts. Practices as a sole proprietor. Licensed in Kentucky and Massachusetts.

Licensed in
KY, MA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

940 Belmont St
Brockton, MA 02301-5596
Phone: (774) 826-2456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 122461 (MA)
Social Worker Taxonomy 104100000X · Licence 6094 (KY)

Record details

NPI number1700249513
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2016
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020
Mailing address940 Belmont St, Brockton, MA 02301-5596

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