Individual provider Active NPI

Susan Taylor-Amos, LCSW

  • Clinical Social Worker
  • Gladstone, MO
National Provider Identifier
1023790086
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2022046097 Issued in MO
Practice address
6651 N Oak Trfy Ste 17
Gladstone, MO 64118-3353
Phone
(816) 246-4465
Fax
(816) 524-7008
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 2022046097 MO Primary

Addresses

Primary practice location

6651 N Oak Trfy Ste 17
Gladstone, MO 64118-3353

Mailing address

1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (816) 246-4465

Other practice location 1

1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (816) 246-4465

Other practice location 2

10400 N Grand Ave
Kansas City, MO 64155-1712
Phone (816) 591-7663

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
I20240517001056 MO Practitioner - Clinical Social Worker 0345681623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Grace Ministries, IncGroup PAC ID 7719045798, 25 clinicians

Practice addresses (Care Compare)

1272 NE Windsor Dr
Healing Couns CTRS
Lees Summit, MO 64086-5594
Phone (816) 246-4465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Grace Ministries, Inc Clinical CurrentSince May 1, 2024 Accepting new patients

Locations

6651 N Oak Trfy
Ste 17
Kansas City, MO 64118
Phone (816) 246-4465

1272 NE Windsor Dr
Lees Summit, MO 64086
Phone (816) 246-4465

Organizations & group practices 1

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1023790086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 NE WINDSOR DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865594",
            "telephone_number": "816-246-4465",
            "fax_number": "816-524-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 N OAK TRFY STE 17",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183353",
            "telephone_number": "816-246-4465",
            "fax_number": "816-524-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1272 NE Windsor Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640865594",
            "country_code": "US",
            "telephone_number": "816-246-4465",
            "fax_number": "816-524-7008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10400 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641551712",
            "country_code": "US",
            "telephone_number": "816-591-7663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR-AMOS",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022046097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

Verify at the official NPI Registry.