Active NPI
Tiffany M Chaney, LCSW
- Clinical Social Worker
- Saint Joseph, MO
National Provider Identifier
1780142083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2021050423
- Practice address
- 2711 NE County Line Rd
Saint Joseph, MO 64505-1075 - Phone
- (314) 643-1029
- NPI assigned
- Mar 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021050423 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Counseling Center Inc. | Clinical | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2021050423 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2711 NE County Line Rd
Saint Joseph, MO 64505-1075
Mailing address
2711 NE County Line Rd
Saint Joseph, MO 64505-1075
Phone (314) 643-1029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2024.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1780142083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 NE COUNTY LINE RD",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645051075",
"telephone_number": "314-643-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 NE COUNTY LINE RD",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645051075",
"telephone_number": "314-643-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANEY",
"first_name": "TIFFANY",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2021050423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.