MEDICARE: ELISE J CHAPLINE PSYCHOTHERAPY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1811530041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELISE J CHAPLINE PSYCHOTHERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	9233 WARD PKWY STE 360
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-3360
Country	:	US
Telephone Number	:	913-360-9333
Fax Number	:	816-227-6931

Provider Business Practice Location Address
First Line	:	9233 WARD PKWY STE 360
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-3360
Country	:	US
Telephone Number	:	816-360-9333
Fax Number	:	816-227-6931

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELISE CHAPLINE
Credential	:	LCSW
Telephone Number	:	816-360-9333

Provider Enumeration Date	:	10/21/2019
Last Update Date	:	10/16/2025

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