Active NPI
Chrysalis Disability Services
Doing business as Chrysalis Roanoke
- Clinical Social Worker
- Roanoke, VA
National Provider Identifier
1417740598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CHRYSALIS DISABILITY SERVICES
- Doing business as
- Chrysalis Roanoke
- Practice address
- 7533 Williamson Rd
Roanoke, VA 24019-4301 - Phone
- (540) 632-0849
- Fax
- (540) 566-4472
- NPI assigned
- May 22, 2025
- Last updated
- May 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Siclinda Canty-Elliott
- Title
- Board Chair
- Phone
- (540) 819-1412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
7533 Williamson Rd
Roanoke, VA 24019-4301
Mailing address
7533 Williamson Rd
Roanoke, VA 24019-4301
Phone (540) 632-0849
Other names 1
- Chrysalis Roanoke
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1417740598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7533 WILLIAMSON RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194301",
"telephone_number": "540-632-0849",
"fax_number": "540-566-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7533 WILLIAMSON RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194301",
"telephone_number": "540-632-0849",
"fax_number": "540-566-4472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRYSALIS DISABILITY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A",
"authorized_official_last_name": "CANTY-ELLIOTT",
"authorized_official_first_name": "SICLINDA",
"authorized_official_title_or_position": "BOARD CHAIR",
"authorized_official_telephone_number": "540-819-1412"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chrysalis Roanoke",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roanoke, VA
- Chen Peter Chou, FNP
- Kathryn Leigh Stewart Chrisfield, NP-C
- Kaylie Christensen, PA-C
- Ashley Paige Christian, FNP
- Christinas' Hope LLC (Christinas' Hope)
- CHS Inc (Carilion Medical Center Pharmacy, Inc)
- CHS Inc
- CHS Inc (Carilion Clinic Pharmacy Roanoke Memorial Hospital)
- CHS, Inc (Carilion Clinic Pharmacy Specialty Pharmacy)
- CHS, Inc (Medical Center Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.