Rennie L Chastain Gitthens, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001347 Issued in MO

Practice address

1726 8TH Ave
2031 N 36
Saint Joseph, MO 64505-1811

Phone

(816) 262-4494

Fax

(816) 364-4737

NPI assigned

Jun 23, 2005

Sex

Female

Sole proprietor

Yes

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.

• Lifes Journey Counseling Services

  • Clinical Social Worker
  • Saint Joseph, MO
  • NPI 1528352176

  Clinical, MO

  Medicare reassignment NPD

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2017.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1306842471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 8TH AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645051811",
            "telephone_number": "816-262-4494",
            "fax_number": "816-364-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 8TH AVE",
            "address_2": "2031 N 36",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645051811",
            "telephone_number": "816-262-4494",
            "fax_number": "816-364-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN GITTHENS",
        "first_name": "RENNIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493517619",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saint Joseph, MO
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.