Individual provider Active NPI

Rennie L Chastain Gitthens, MSW LCSW

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1306842471
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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 001347 MO Primary

Addresses

Primary practice location

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

Mailing address

1726 8TH Ave
Saint Joseph, MO 64505-1811
Phone (816) 262-4494

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120430000635 MO Practitioner - Clinical Social Worker 6608038146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1726 8TH Ave
Saint Joseph, MO 64505-1811

3120 Karnes Rd
Suite E
Saint Joseph, MO 64506-4324
Phone (816) 262-4494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001347MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifes Journey Counseling Services Clinical CurrentSince Apr 30, 2012 Accepting new patients

Locations

3120 Karnes Rd
Ste E
Saint Joseph, MO 64506
Phone (816) 262-4494

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.