Active NPI
Gloria A Egner Jester, LCSW KS LCSW MO
- Clinical Social Worker
- Independence, MO
National Provider Identifier
1053465906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2000153563
- Practice address
- 4700 S Cedarcrest CT
Suite 12
Independence, MO 64055 - Phone
- (816) 350-7179
- Fax
- (816) 350-3962
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2000153563 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 1454 | KS |
Addresses
Primary practice location
4700 S Cedarcrest CT
Suite 12
Independence, MO 64055
Mailing address
4700 S Cedarcrest CT
Suite 12
Independence, MO 64055
Phone (816) 350-7179
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000153563 | MO | MD | Clinical Social Worker |
| 1454 | KS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053465906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 S CEDARCREST CT",
"address_2": "SUITE 12",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "64055",
"telephone_number": "816-350-7179",
"fax_number": "816-350-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 S CEDARCREST CT",
"address_2": "SUITE 12",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "64055",
"telephone_number": "816-350-7179",
"fax_number": "816-350-3962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGNER JESTER",
"first_name": "GLORIA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW KS LCSW MO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2000153563",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "1454",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.