Individual provider Active NPI

Tiffany M Chaney, LCSW

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1780142083
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2021050423 Issued in MO
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

LicenseStateTypeSpecialty
2021050423MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center Inc. Clinical PastSince May 1, 1992 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2021050423 MO Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.