Individual provider Active NPI

Adrienne Erica Taylor, LCSW

  • Clinical Social Worker
  • Raytown, MO
National Provider Identifier
1124395884
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2005015121 Issued in MO
Practice address
6220 Blue Ridge Cutoff
Suite 312
Raytown, MO 64133-3700
Phone
(816) 425-2850
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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 2005015121 MO Primary

Addresses

Primary practice location

6220 Blue Ridge Cutoff
Suite 312
Raytown, MO 64133-3700

Mailing address

6220 Blue Ridge Cutoff
Suite 312
Kansas City, MO 64133
Phone (816) 425-2850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, VA, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150501000921 MO Practitioner - Clinical Social Worker 4486973138 Reassigns benefits to 2 organizations
Practice locations: Kansas City, MO
I20160114002466 KS Practitioner - Clinical Social Worker 4486973138 Reassigns benefits to 1 organization
I20160209000266 VA Practitioner - Clinical Social Worker 4486973138 Reassigns benefits to 1 organization
I20230728000020 DC Practitioner - Clinical Social Worker 4486973138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince Apr 26, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 27, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 24, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1124395884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 BLUE RIDGE CUTOFF",
            "address_2": "SUITE 312",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64133",
            "telephone_number": "816-425-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 BLUE RIDGE CUTOFF",
            "address_2": "SUITE 312",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641333700",
            "telephone_number": "816-425-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ADRIENNE",
        "middle_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005015121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

Verify at the official NPI Registry.