Chanae Perry Tanksley, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

02898 Issued in CT

Practice address

34 Jerome Ave Ste 106
Bloomfield, CT 06002-2463

Phone

(860) 952-3335

Fax

(860) 787-5517

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Step With Purpose LLC

  • Clinical Social Worker
  • Windsor, CT
  • NPI 1083506513
  NPD Authorized official
• Step With Purpose LLC

  • Community/Behavioral Health Agency
  • Bloomfield, CT
  • NPI 1700734274
  NPD Authorized official
• Inner You Clinical Services LLC

  • Clinical Social Worker
  • Bloomfield, CT
  • NPI 1518569375
  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1285328005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 106",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-952-3335",
            "fax_number": "860-787-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 106",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-952-3335",
            "fax_number": "860-787-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY TANKSLEY",
        "first_name": "CHANAE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "02898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Partners, LLC
• Jennifer W Pennoyer, M.D.
• William P Pennoyer, M.D.
• Perinatal Support & Beyond LLC
• Edith Perlwitz
• Sydney E Perry, PHARMD
• Peter C. Donshik, M.D., P.C.
• Peter Donshik MD
• Katie Lea Petersen, DPT
• Lindsay Allison Petriello, APRN

• Social Worker in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.