Chanel Joy Warzynski

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

132 E Broadway Ste 415
Eugene, OR 97401-3155

Phone

(541) 644-3097

Fax

(541) 246-3053

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Knight Psychotherapy LLC

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1689363897
  NPD

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1578055778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 415",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013155",
            "telephone_number": "541-644-3097",
            "fax_number": "541-246-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 415",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013155",
            "telephone_number": "541-644-3097",
            "fax_number": "541-246-3053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Birch Ave",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974241416",
            "country_code": "US",
            "telephone_number": "541-942-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 E 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013212",
            "country_code": "US",
            "telephone_number": "541-687-4000",
            "fax_number": "541-342-7987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARZYNSKI",
        "first_name": "CHANEL",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Warner
• Kimberly Warner, MSW
• Amy Nicole Warnock
• Carol Elizabeth Warren, MSW, CMHS, MHP, RC
• Michael Keith Warren Jr., QMHA-R
• Michelle Wasak
• Elizabeth J Washak, D.C.
• Viola E. Washburn, MS, LPC
• Elizabeth Day Washington, RDH
• Perry Wayne Washington, QMHA

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.