Individual provider Active NPI

Kristen Kay Siler-Kline, LCSW

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1043071624
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023005577 Issued in MO
Practice address
1202 Village Dr
Saint Joseph, MO 64506-3042
Phone
(816) 237-0166
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 2023005577 MO Primary

Addresses

Primary practice location

1202 Village Dr
Saint Joseph, MO 64506-3042

Mailing address

1202 Village Dr
Saint Joseph, MO 64506-3042
Phone (816) 237-0166

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
I20240314001216 MO Practitioner - Clinical Social Worker 8820434731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joe Therapist LLCGroup PAC ID 0648616540, 2 clinicians

Practice addresses (Care Compare)

1202 Village Dr
Saint Joseph, MO 64506-3042
Phone (816) 237-0166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023005577MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Joe Therapist LLC Clinical CurrentSince Feb 9, 2024 Accepting new patients

Locations

1202 Village Dr
Saint Joseph, MO 64506
Phone (816) 237-0166

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": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1043071624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063042",
            "telephone_number": "816-237-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063042",
            "telephone_number": "816-237-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILER-KLINE",
        "first_name": "KRISTEN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023005577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.