Individual provider Active NPI

Chanel Fortier Kittle, LMSW, MSM

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1679142277
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12156 Issued in KS
Practice address
8901 W 106TH Ter
Overland Park, KS 66212-5575
Phone
(913) 998-1171
NPI assigned
Jun 18, 2021
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 12156 KS Primary

Addresses

Primary practice location

8901 W 106TH Ter
Overland Park, KS 66212-5575

Mailing address

8901 W 106TH Ter
Overland Park, KS 66212-5575
Phone (913) 998-1171

Other names 1

  • Ms. Chanel Kittle Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20250514003482 KS Practitioner - Clinical Social Worker 2668990573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Level LLCGroup PAC ID 0244634293, 26 clinicians

Practice addresses (Care Compare)

345 N Riverview St
Suite 730
Wichita, KS 67203-4267
Phone (316) 202-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12156KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Level LLC Clinical CurrentSince May 7, 2025 Accepting new patients

Locations

345 N Riverview St
Ste 730
Wichita, KS 67203
Phone (316) 202-2110

9415 E Harry St
Ste 306
Wichita, KS 67207
Phone (316) 202-2110

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1679142277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W 106TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125575",
            "telephone_number": "913-998-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W 106TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125575",
            "telephone_number": "913-998-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLE",
        "first_name": "CHANEL",
        "middle_name": "FORTIER",
        "credential": "LMSW, MSM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "12156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANEL",
            "last_name": "KITTLE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.