Individual provider Active NPI

Anna E Reid, LCSW, MSW

  • Clinical Social Worker
  • Lees Summit, MO
National Provider Identifier
1134855216
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023041407 Issued in MO
Practice address
200 NE Missouri Rd Ste 307
Lees Summit, MO 64086-4722
Phone
(816) 839-9427
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2021037372 MO
Clinical Social Worker 1041C0700X 2023041407 MO Primary

Addresses

Primary practice location

200 NE Missouri Rd Ste 307
Lees Summit, MO 64086-4722

Mailing address

4300 W 51St St
Roeland Park, KS 66205-1303
Phone (816) 533-5855

Other practice location 1

3737 S Elizabeth St Ste 104
Independence, MO 64057-1717
Phone (816) 654-4165

Other identifiers 2

IdentifierTypeStateIssuer
1447903380MedicaidMO
20230414507OtherMOCLINICAL LICENSURE NUMBER FROM MO SOCIAL WORK COMMITTEE

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

LicenseStateTypeSpecialty
2021037372MOMDSocial Worker
2023041407MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leavell and Associates, LLC Counseling and Trauma Recovery Services Clinical CurrentSince Jul 1, 2022 Accepting new patients
Be Happy KC LLC Past Accepting new patients

Locations

3737 S Elizabeth St
Ste 104
Independence, MO 64057
Phone (816) 654-4165

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1134855216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W 51ST ST",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662051303",
            "telephone_number": "816-533-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD STE 307",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864722",
            "telephone_number": "816-839-9427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 S Elizabeth St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571717",
            "country_code": "US",
            "telephone_number": "816-654-4165",
            "fax_number": "816-817-6595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "ANNA",
        "middle_name": "E",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2021037372",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023041407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447903380",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSURE NUMBER FROM MO SOCIAL WORK COMMITTEE",
            "identifier": "20230414507",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 14, 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.