Active NPI
Samantha Stayton, LCSW, LSCSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1124741384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2021031853
- Practice address
- 6155 Oak St Ste C
Kansas City, MO 64113-2266 - Phone
- (816) 226-6802
- NPI assigned
- Sep 22, 2022
- 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 | 05582 | KS | |
| Clinical Social Worker | 1041C0700X | 2021031853 | MO | Primary |
Addresses
Primary practice location
6155 Oak St Ste C
Kansas City, MO 64113-2266
Mailing address
904 E 39TH St Apt 1D
Kansas City, MO 64109-2692
Phone (816) 830-0268
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 |
|---|---|---|---|
| 05582 | KS | MD | Clinical Social Worker |
| 2021031853 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1124741384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E 39TH ST APT 1D",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641092692",
"telephone_number": "816-830-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6155 OAK ST STE C",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641132266",
"telephone_number": "816-226-6802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAYTON",
"first_name": "SAMANTHA",
"credential": "LCSW, LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-22",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "05582",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2021031853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.