Individual provider Active NPI

Jennifer C Lowe, LCSW

  • Social Worker
  • Raymore, MO
National Provider Identifier
1033173299
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
004927 Issued in MO
Practice address
412 Shoreview Dr
Raymore, MO 64083-9097
Phone
(816) 318-1239
Fax
(314) 640-8929
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 004927 MO Primary

Addresses

Primary practice location

412 Shoreview Dr
Raymore, MO 64083-9097

Mailing address

412 Shoreview Dr
Raymore, MO 64083-9097
Phone (816) 318-1239

Other identifiers 2

IdentifierTypeStateIssuer
495841900MedicaidMO
164475OtherMOBLUE CROSS BLUE SHIELD

Other names 1

  • Miss Jennifer L Carlson Former name

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
I20110919000613 MO Practitioner - Clinical Social Worker 0446421697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whiting and Associates, LLCGroup PAC ID 3274629118, 4 clinicians

Practice addresses (Care Compare)

4025 NE Lakewood Way
Suite 210
Lees Summit, MO 64064-2059
Phone (816) 554-7750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004927MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whiting & Associates, LLC CurrentSince Jun 1, 2014 Accepting new patients
Subbu J Sarma MD LLC PastSince Apr 1, 2020 Accepting new patients

Locations

4025 NE Lakewood Way
Ste 210
Lees Summit, MO 64064
Phone (816) 554-7750

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1033173299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SHOREVIEW DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839097",
            "telephone_number": "816-318-1239",
            "fax_number": "314-640-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SHOREVIEW DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839097",
            "telephone_number": "816-318-1239",
            "fax_number": "314-640-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "004927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495841900",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "164475",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CARLSON",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raymore, MO

Sources for this page

Verify at the official NPI Registry.