Organization Active NPI

Chrysalis, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1366484669
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2319 Issued in KS
Legal business name
CHRYSALIS, LLC
Practice address
122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173
Phone
(785) 840-7088
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Ms. Renee Dorothy Rodgers, LSCSW /LCSW
Title
Owner
Phone
(785) 840-7088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2319 KS Primary

Addresses

Primary practice location

122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173

Mailing address

122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173
Phone (785) 840-7088

Other names 1

  • Crysalis LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2201 SW 29th St
Topeka, KS 66611
Phone (785) 266-6162

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1366484669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1441",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036173",
            "telephone_number": "785-840-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1441",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036173",
            "telephone_number": "785-840-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-840-7088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSCSW /LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crysalis LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.