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Contact Information

KELLY D CHANCE, LCSW
5001 LAKE AVE
SAINT JOSEPH, MO64504-1170
 Phone: 816-238-7788
 Fax: 816-238-9298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KELLY D CHANCE · (Female)

NPI Number 1992215271
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/02/2017
Last updated 05/19/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • MO License # 2017017986
  • MO License # 2020000664
  • MO Medicaid 490066457
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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