Provider Demographics
NPI:1619589884
Name:ENDRES, CHANCEY (MLSW)
Entity type:Individual
Prefix:
First Name:CHANCEY
Middle Name:
Last Name:ENDRES
Suffix:
Gender:F
Credentials:MLSW
Other - Prefix:
Other - First Name:CHANCEY
Other - Middle Name:
Other - Last Name:GRASHUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11020 BROKEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-9285
Mailing Address - Country:US
Mailing Address - Phone:775-813-9654
Mailing Address - Fax:
Practice Address - Street 1:840 I ST STE 5
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-3631
Practice Address - Country:US
Practice Address - Phone:775-813-9654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-19
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9306-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker