Individual provider Active NPI

Alexandra Echelmeier, LCSW

  • Clinical Social Worker
  • Lees Summit, MO
National Provider Identifier
1073992269
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2016042776 Issued in MO
Practice address
312 SW Greenwich Dr Ste 546
Lees Summit, MO 64082-4408
Phone
(816) 579-4544
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2014009409 MO
Social Worker 104100000X 8896 KS
Clinical Social Worker 1041C0700X 2016042776 MO Primary

Addresses

Primary practice location

312 SW Greenwich Dr Ste 546
Lees Summit, MO 64082-4408

Mailing address

312 SW Greenwich Dr Ste 546
Lees Summit, MO 64082-4408
Phone (816) 579-4544

Other practice location 1

4149 Pennsylvania Ave
Kansas City, MO 64111-3087
Phone (816) 225-3698

Other names 1

  • Miss Alexandra Echelmeier Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8896KSMDSocial Worker
2014009409MOMDSocial Worker
2016042776MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1073992269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SW GREENWICH DR STE 546",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824408",
            "telephone_number": "816-579-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SW GREENWICH DR STE 546",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824408",
            "telephone_number": "816-579-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4149 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641113087",
            "country_code": "US",
            "telephone_number": "816-225-3698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECHELMEIER",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2014009409",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8896",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016042776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "ECHELMEIER",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.