Individual provider Active NPI

Chase Knoll Torres, LCSW

  • Clinical Social Worker
  • Colleyville, TX
National Provider Identifier
1447469721
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37785 Issued in TX
Practice address
5004 Thompson Ter Ste 103
Colleyville, TX 76034-6130
Phone
(817) 416-7169
Fax
(178) 579-5548
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 37785 TX Primary

Addresses

Primary practice location

5004 Thompson Ter Ste 103
Colleyville, TX 76034-6130

Mailing address

5004 Thompson Ter Ste 103
Colleyville, TX 76034-6130
Phone (817) 416-7169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160121001732 TX Practitioner - Clinical Social Worker 3476856667 Practice locations: Colleyville, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5004 Thompson Ter
Suite 103
Colleyville, TX 76034-6130
Phone (817) 807-3624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37785TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1447469721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 THOMPSON TER STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346130",
            "telephone_number": "817-416-7169",
            "fax_number": "817-857-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 THOMPSON TER STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346130",
            "telephone_number": "817-416-7169",
            "fax_number": "178-579-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "CHASE",
        "middle_name": "KNOLL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.