Active NPI
Holly L. Thomas-Chapman, LCSW
- Clinical Social Worker
- Saint Joseph, MO
National Provider Identifier
1881738748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2004005011
- Practice address
- 3216 Pickett Rd
Saint Joseph, MO 64503-1428 - Phone
- (816) 294-0861
- NPI assigned
- Feb 16, 2007
- Last updated
- Dec 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2004005011 | MO | Primary |
Addresses
Primary practice location
3216 Pickett Rd
Saint Joseph, MO 64503-1428
Mailing address
3216 Pickett Rd
Saint Joseph, MO 64503-1428
Phone (816) 294-0861
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33721028 | Other | MO | BLUE CROSS BLUE SHIELD KC |
| 499099018 | Medicaid | MO | |
| 499099000 | Medicaid | MO |
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 |
|---|---|---|---|
| 2004005011 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1881738748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3216 PICKETT RD",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645031428",
"telephone_number": "816-294-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 PICKETT RD",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645031428",
"telephone_number": "816-294-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS-CHAPMAN",
"first_name": "HOLLY",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2004005011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD KC",
"identifier": "33721028",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "499099018",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "499099000",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
- The Hearing Connection, LLC.
- The Orthopedic & Sports Medicine Center, LLC (Open MRI of St. Joseph)
- The Orthopedic & Sports Medicine Center, LLC
- The Spec Shoppe of St. Joseph, Inc.
- The Whole Person, Inc.
- Brynde Janea Thomas, FNP-C
- Elizabeth Ashley Thomas
- Hailey Grace Thomas
- Jennifer L Thomas, BCBA
- Amber D Thompson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.