Individual provider Active NPI

Marnice J Willis, LCSW

  • Clinical Social Worker
  • Independence, MO
National Provider Identifier
1073278768
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024008246 Issued in MO
Practice address
12401 E 43Rd St S Ste 101
Independence, MO 64055-5911
Phone
(816) 971-0061
Fax
(816) 503-6292
NPI assigned
Nov 8, 2021
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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 2024008246 MO Primary

Addresses

Primary practice location

12401 E 43Rd St S Ste 101
Independence, MO 64055-5911

Mailing address

12401 E 43Rd St S Ste 101
Independence, MO 64055-5911
Phone (816) 971-0061

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
I20240311002606 MO Practitioner - Clinical Social Worker 4789020918 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc Clinical CurrentSince Mar 6, 2024 Accepting new patients
The Wellness Counseling Center, LLC CurrentSince May 29, 2025 Accepting new patients
Compass Health, Inc CurrentSince Mar 6, 2024 Accepting new patients
Bee Well Counseling LLC Clinical Current Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

1305 W Main St
Greenwood, MO 64034
Phone (816) 665-7725

105C W Wall St
Harrisonville, MO 64701
Phone (816) 793-0071

107 SW Market St
Ste D
Lees Summit, MO 64063
Phone (816) 379-9170

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1073278768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 E 43RD ST S STE 101",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555911",
            "telephone_number": "816-971-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 E 43RD ST S STE 101",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555911",
            "telephone_number": "816-971-0061",
            "fax_number": "816-503-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MARNICE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024008246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.