Individual provider Active NPI

Layne Eric Pangrac, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1023780988
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3625 Bell St
Kansas City, MO 64111-3911
Phone
(816) 805-9014
NPI assigned
Sep 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3625 Bell St
Kansas City, MO 64111-3911

Mailing address

300 W 19TH Ter
Kansas City, MO 64108-2026
Phone (816) 805-9014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211115001379 MO Practitioner - Clinical Social Worker 8325437288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Missouri, Kansas City, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians

Practice addresses (Care Compare)

300 W 19TH Ter
Truman Medical Center Incorporated Behavior
Kansas City, MO 64108-2026
Phone (816) 404-5709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated CurrentSince Sep 21, 2021 Accepting new patients
Truman Medical Center Incorporated CurrentSince Sep 21, 2021 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients

Locations

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

300 SE 2nd St
Ste 100
Lees Summit, MO 64063
Phone (816) 246-4050

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1023780988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 19TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082026",
            "telephone_number": "816-805-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 BELL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113911",
            "telephone_number": "816-805-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGRAC",
        "first_name": "LAYNE",
        "middle_name": "ERIC",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.