Healthcare Provider Details

I. General information

NPI: 1902730195
Provider Name (Legal Business Name): ELENA V CHAFFIN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24752 W 144TH ST
OLATHE KS
66061-7651
US

IV. Provider business mailing address

24752 W 144TH ST
OLATHE KS
66061-7651
US

V. Phone/Fax

Practice location:
  • Phone: 316-847-3888
  • Fax:
Mailing address:
  • Phone: 316-847-3888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14698
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: