Chrysalis Shelter for Victims of Domestic Violence Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

BH4093 Issued in AZ

Legal business name

CHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE INC

Practice address

2055 West Northern Avenue
Phoenix, AZ 85021-5157

Phone

(602) 955-9059

Fax

(602) 955-0165

NPI assigned

Jan 22, 2007

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Connelly

Title

Ceo

Phone

(602) 955-9059

Specialties & licenses 1

Addresses

Other names 1

• Chrysalis Other name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Casey, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1265364921
  NPD (past)
• Katherine Koehler

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1790604361
  NPD (past)
• Danelle W Marshall, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1003179094
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1033263694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 W NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215157",
            "telephone_number": "602-955-9059",
            "fax_number": "602-955-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WEST NORTHERN AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215157",
            "telephone_number": "602-955-9059",
            "fax_number": "602-955-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-955-9059"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "BH4093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chrysalis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda L Chronister, PHARMD
• Agnieszka M Chrostowski, M.D.
• Gregory K Chrostowski, M.D.
• Chruell Enterprises Inc. (Quality of Life Transport Services)
• Chrysalis Counseling Services LLC
• Angel L Chu-Peterson, AGACNP
• Anita L Chu, PHARMD
• Danielle Daiyun Chu, M.D.
• Edward Tsien Chu, MD
• Gregory T Chu, MD

• Point of Service in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Point of Service in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.