Julie Kisner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2019005788 Issued in MO

Practice address

1109 W Clay Rd
Versailles, MO 65084-1177

Phone

(573) 378-2351

Fax

(660) 826-1300

NPI assigned

Jan 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Regional Health Care Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Sedalia, MO
  • NPI 1922057504
  Medicare reassignment NPD
• Regional Health Care Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Versailles, MO
  • NPI 1053694422
  Medicare reassignment NPD
• Regional Health Care Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Warsaw, MO
  • NPI 1629797196
  NPD
• Regional Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stover, MO
  • NPI 1942841903
  NPD

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1154867869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653013821",
            "telephone_number": "660-310-0909",
            "fax_number": "888-979-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W CLAY RD",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841177",
            "telephone_number": "573-378-2351",
            "fax_number": "660-826-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISNER",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2017001311",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019005788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JRS Enterprises II Missouri LLC
• Ashley Joann Judd, LPN
• Kevin K.E. Carl, O.D. Dba Eye Clinic
• Kidwell Home
• Rebecca Elaine Kimbell, MSN, APRN, CNP
• Mary Kloeppel
• Sunshine Lafoy
• Laurie Pharmacy Inc
• Sylvia Lawson-Cook, LCSW
• Colin Lepley, PTA

• Clinical Social Worker in Versailles, MO
• Providers in Versailles, 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 Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.