Active NPI
Christina Shaw Hyde, LMSW, LCSW
- Clinical Social Worker
- Lees Summit, MO
National Provider Identifier
1013077965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2005022242
- Practice address
- 1260 NE Windsor Dr
Lees Summit, MO 64086-5594 - Phone
- (816) 347-8777
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 2005022242 | MO | Primary |
Addresses
Primary practice location
1260 NE Windsor Dr
Lees Summit, MO 64086-5594
Mailing address
3540 Genessee St
Kansas City, MO 64111-3963
Phone (816) 753-7056
Other names 1
- Christina Shaw Hamilton
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 |
|---|---|---|---|
| 2005022242 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Family Healthcare, Inc. | Past | Accepting new patients | |
| Preferred Family Healthcare | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Substance Abuse Rehabilitation Facility
- Lees Summit, MO
- NPI 1225161128
-
- Federally Qualified Health Center (FQHC)
- Hannibal, MO
- NPI 1306721709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1013077965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 GENESSEE ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113963",
"telephone_number": "816-753-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 NE WINDSOR DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865594",
"telephone_number": "816-347-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "CHRISTINA",
"middle_name": "SHAW",
"credential": "LMSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2005022242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "HAMILTON",
"middle_name": "SHAW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.