Tina Louise Rambo-Faulkner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2005030622 Issued in MO

Practice address

805 NE Carousel LN
Lees Summit, MO 64086-7039

Phone

(816) 500-6223

NPI assigned

Dec 29, 2006

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1154487411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 SW FLINTROCK DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824869",
            "telephone_number": "816-537-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 NE CAROUSEL LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640867039",
            "telephone_number": "816-500-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBO-FAULKNER",
        "first_name": "TINA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005030622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shubha Raja, M.B.B.S.
• Ravi Jay Rajanna, DMD
• Ramadan Rakha
• Lynsey N Ralston, AU.D.
• Andrew F. Ramaley, CRNA
• Bre'Asia Ramirez
• Leonor Ramos-Salamanca, PLPC
• Deanna L Rand, L.P.C., A.T.R.
• Maggie Randall, PLPC
• Katherine Randolph, LMSW

• Clinical Social Worker in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.