Individual provider Active NPI

Jacqueline Kay Klingler, MSW; LCSW; LSCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1104174861
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2469 Issued in KS
Practice address
3100 Broadway St
Suite 1000
Kansas City, MO 64111-2658
Phone
(816) 756-1160
Fax
(816) 756-2596
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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 2469 KS Primary
Clinical Social Worker 1041C0700X 2003022268 MO

Addresses

Primary practice location

3100 Broadway St
Suite 1000
Kansas City, MO 64111-2658

Mailing address

3100 Broadway St
Suite 1000
Kansas City, MO 64111-2658
Phone (816) 756-1160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210930003184 KS Practitioner - Clinical Social Worker 9436556628 Reassigns benefits to 1 organization
I20231113002809 MO Practitioner - Clinical Social Worker 9436556628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

4400 Broadway Blvd
Suite 300
Kansas City, MO 64111-3342
Phone (816) 932-1711

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2469KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Dec 17, 2023 Accepting new patients
Clinical Associates PA CurrentSince Sep 28, 2021 Accepting new patients

Locations

8629 Bluejacket St
Ste 100
Overland Park, KS 66214
Phone (913) 677-3553

8629 Bluejacket St
Overland Park, KS 66214
Phone (913) 677-3553

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

901 E 104th St
Stop 400S
Kansas City, MO 64131

4400 Broadway Blvd
Ste 300
Kansas City, MO 64111

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Organizations & group practices 2

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1104174861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST",
            "address_2": "SUITE 1000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-756-1160",
            "fax_number": "816-756-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST",
            "address_2": "SUITE 1000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-756-1160",
            "fax_number": "816-756-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGLER",
        "first_name": "JACQUELINE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MSW; LCSW; LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2469",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2003022268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.