Active NPI
Anna E Reid, LCSW, MSW
- Clinical Social Worker
- Lees Summit, MO
National Provider Identifier
1134855216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2023041407
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447903380 | Medicaid | MO | |
| 20230414507 | Other | MO | CLINICAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2021037372 | MO | MD | Social Worker |
| 2023041407 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavell and Associates, LLC Counseling and Trauma Recovery Services | Clinical | Current | 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.
-
- Clinical Social Worker
- Independence, MO
- NPI 1447903380
Clinical
-
- Professional Counselor
- Lees Summit, MO
- NPI 1720701329
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.