Provider Demographics
NPI:1447469721
Name:TORRES, CHASE KNOLL (LCSW)
Entity type:Individual
Prefix:
First Name:CHASE
Middle Name:KNOLL
Last Name:TORRES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 THOMPSON TER STE 103
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-6130
Mailing Address - Country:US
Mailing Address - Phone:817-416-7169
Mailing Address - Fax:817-857-9554
Practice Address - Street 1:5004 THOMPSON TER STE 103
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-6130
Practice Address - Country:US
Practice Address - Phone:817-416-7169
Practice Address - Fax:178-579-5548
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX377851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical