Active NPI
Evan E Gamsu, LCSW
- Clinical Social Worker
- Independence, MO
National Provider Identifier
1003095936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005218
- Practice address
- 600 W Mechanic Ave
Independence, MO 64050-1769 - Phone
- (913) 269-0577
- NPI assigned
- Oct 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005218 | MO | Primary |
Addresses
Primary practice location
600 W Mechanic Ave
Independence, MO 64050-1769
Mailing address
4515 W 78TH Ter
Prairie Village, KS 66208-4363
Phone (913) 269-0577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005218 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193443200000",
"number": "1003095936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 W 78TH TER",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084363",
"telephone_number": "913-269-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W MECHANIC AVE",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640501769",
"telephone_number": "913-269-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMSU",
"first_name": "EVAN",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-27",
"last_updated": "2007-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "005218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.