PETSAMON CHANTHALOME (NPI# 1811356959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811356959 |
| Entity Type | Individual |
| Full Name | PETSAMON CHANTHALOME |
| Credential | LMSW |
| Practice Address |
24007 W 80th Ter Lenexa KS 66227-2203 |
| Practice Telephone | 9138503069 |
| Mailing Telephone | 9138503069 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 9520 | KS | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 2015022687 | MO | Behavioral Health & Social Service Providers |
| Street Address |
24007 W 80TH TER |
| City | LENEXA |
| State | KS |
| Zip Code | 66227-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952871352 | Bariatric Eating Disorders Solutions, LLC | Social Worker | 23351 Prairie Star Parkway, Suite A275, Lenexa, KS 66227 | 2018-11-28 |
| 1538671946 | The Bariatric Center of Kansas City LLC | Special Hospital | 23401 Prairie Star Pkwy # 350, Lenexa, KS 66227 | 2017-10-26 |
| 1881124279 | Andrea Lynn Percy | Speech-Language Pathologist | 9861 Saddletop St, Lenexa, KS 66227 | 2017-06-18 |
| 1609267913 | Freedom Physical Therapy and Training Center Pa | Clinic/Center | 7732 Hedge Lane Terrace, Shawnee, KS 66227 | 2015-02-09 |
| 1992945307 | Kc Bariatric, LLC | Specialist | 23401 Prairie Star Parkway, Suite B-300, Lenexa, KS 66227 | 2009-02-25 |
| 1871984161 | Don Dequine Jr. | Physical Therapist | 7732 Hedge Lane Terrace, Shawnee, KS 66227 | 2015-02-09 |
| 1356753321 | Michael K Johnson | Podiatrist | 9300 Meadow View Dr, Ste 101, Lenexa, KS 66227 | 2014-05-27 |
| 1629634472 | Nancy Jane Jarboe | Physical Therapy Assistant | 7112 Aminda Dr, Shawnee, KS 66227-2116 | 2019-05-17 |
| 1255772059 | Laura E Hernandez | Dietitian, Registered | 7100 Aminda Dr, Shawnee, KS 66227-2116 | 2013-07-10 |
| 1326646258 | Rl Kansas City 2, LLC | Assisted Living Facility | 7150 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| Find all providers in zip 66227 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700396884 | Stephanie Ann Taylor | Social Worker | 7513 Widmer Rd, Lenexa, KS 66216-4237 | 2017-10-03 |
| 1790153336 | Sherri Brown | Social Worker | 22118 W 98th St, Lenexa, KS 66220-2703 | 2015-09-14 |
| 1972903433 | Lacey Lee | Social Worker | 13125 W 89th St, Lenexa, KS 66215-4916 | 2014-09-02 |
| 1962823898 | Amanda Maloney | Social Worker | 8113 Halsey St, Lenexa, KS 66215-2722 | 2013-12-19 |
| 1952660623 | Victoria Lyn Hopp | Social Worker | 12351 W 96 Terrace, Lenexa, KS 66215-4409 | 2012-05-15 |
| 1376841445 | Ashley C Bland | Social Worker | 7940 Marshall Dr, Lenexa, KS 66214-1562 | 2011-03-14 |
| 1851693253 | Stacy Joslyn | Social Worker | 19801 W 97th St, Lenexa, KS 66220-3351 | 2010-11-17 |
| 1053596486 | Linda Floyd Stiles | Social Worker | 8700 Monrovia St, Ste. 310, Lenexa, KS 66215-3500 | 2008-01-03 |
| 1639359748 | Shiloh Rhea Katz | Social Worker | 12818 W 77th St, Lenexa, KS 66216-3202 | 2007-11-06 |
| 1295929800 | Emily Kathryn Morgan | Social Worker | 12351 W 92 Terrace, Ste. 300, Lenexa, KS 66212 | 2007-08-28 |
| Find all providers in LENEXA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.