Individual provider Active NPI

Christina Semenchuk, LCSW

  • Clinical Social Worker
  • Country Club, MO
National Provider Identifier
1033978978
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2024-0186 Issued in NM
Practice address
6203 Glendale Rd
Country Club, MO 64505-1028
Phone
(505) 240-2292
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2026036752 MO
Clinical Social Worker 1041C0700X SWB-2024-0186 NM Primary

Addresses

Primary practice location

6203 Glendale Rd
Country Club, MO 64505-1028

Mailing address

3905 E Hills Dr
Saint Joseph, MO 64503-2238
Phone (505) 240-2292

Other practice location 1

3500 North Village Drive
Garden Level 30
St. Joseph, MO 64506
Phone (816) 895-8020

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

LicenseStateTypeSpecialty
SWB-2024-0186NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1033978978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 E HILLS DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032238",
            "telephone_number": "505-240-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 GLENDALE RD",
            "city": "COUNTRY CLUB",
            "state": "MO",
            "postal_code": "645051028",
            "telephone_number": "505-240-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 North Village Drive",
            "address_2": "Garden Level 30",
            "address_purpose": "LOCATION",
            "city": "St. Joseph",
            "state": "MO",
            "postal_code": "64506",
            "country_code": "US",
            "telephone_number": "816-895-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMENCHUK",
        "first_name": "CHRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2026036752",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2024-0186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Country Club, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.