Individual provider Active NPI

Teresa Lynn Chalker, MSW, LCSW

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1114679107
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005307 Issued in MO
Practice address
10501 W 113TH St Apt 5126
Overland Park, KS 66210-2278
Phone
(913) 219-3007
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005307 MO Primary

Addresses

Primary practice location

10501 W 113TH St Apt 5126
Overland Park, KS 66210-2278

Mailing address

10501 W 113TH St Apt 5126
Overland Park, KS 66210-2278
Phone (913) 219-3007

Other practice location 1

111 W Jackson Blvd Downtown
Suite 1700
Chicago, IL 60604-3589
Phone (415) 424-4266

Other practice location 2

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (415) 424-4266

Other practice location 3

445 Dexter Ave Ste 4050
Montgomery, AL 36104-3867
Phone (415) 424-4266

Other practice location 4

100 S 4th St
Saint Louis, MO 63102-1800
Phone (415) 424-4266

Other practice location 5

475 Biltmore Way Ste 109
Coral Gables, FL 33134-5724
Phone (415) 424-4266

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hazel.co Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005307MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealth Services USA Clinical Past Accepting new patients
Telehealth Services USA Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1114679107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 W 113TH ST APT 5126",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102278",
            "telephone_number": "913-219-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 W 113TH ST APT 5126",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102278",
            "telephone_number": "913-219-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Jackson Blvd Downtown",
            "address_2": "Suite 1700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043589",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16701 Melford Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154411",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Dexter Ave Ste 4050",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361043867",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631021800",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Biltmore Way Ste 109",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331345724",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHALKER",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hazel.co",
            "affiliation": "N",
            "endpointDescription": "Hazel.co",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "San Francisco",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "118 2nd St Fl 6",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941053620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.