Thomas B. Chaffin, LSCSW
Individual provider Active NPI Clinical Social Worker · Fort Leavenworth, KS
NPI 1982921425 · NPPES record last updated Apr 23, 2010
Key facts
- NPI
- 1982921425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSCSW: 2117 (KS)
- Practice address
- 550 Pope Ave.
Munson Army Health Center (Attn: MCXN-Cod, Ms. Cotton
Fort Leavenworth, KS 66027-2332 - Phone
- (913) 684-6562
- Fax
- (913) 684-6562
- NPI assigned
- Apr 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW: 2117 | KS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSCSW: 2117 | KS | Yes |
Addresses
Primary practice location
550 Pope Ave.
Munson Army Health Center (Attn: MCXN-Cod, Ms. Cotton
Fort Leavenworth, KS 66027-2332
Mailing address
550 Pope Ave
Munson Army Health Center (Attn: MCXN-Cod, Ms. Cotton
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6562
Other providers in Fort Leavenworth, KS
- Dave Alan Buchheim
- Jennah Renae Bulen
- Nicole Burton
- Susan Leslie Carlson
- Victoria Katherine Cashio
- Angela Frances Clauser
- Joelle Tara Clemmer
- Claudia Elise Cleveland-Soter
- Alicia Cochran
- Valerie S Coddington
All providers in Fort Leavenworth, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.