Individual provider Active NPI

Cari Hommertzheim, MSW, LSCSW

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1174008874
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05692 Issued in KS
Practice address
10881 Lowell Ave Ste 130
Overland Park, KS 66210-1666
Phone
(913) 386-6889
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05692 KS Primary
Social Worker 104100000X

Addresses

Primary practice location

10881 Lowell Ave Ste 130
Overland Park, KS 66210-1666

Mailing address

10881 Lowell Ave Ste 130
Overland Park, KS 66210-1666
Phone (913) 386-6889

Other practice location 1

21344 W 153rd St
Olathe, KS 66061-5413
Phone (913) 499-8100

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
05692KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KVC Behavioral Healthcare Inc Social Worker PastSince Apr 21, 2024 Accepting new patients

Organizations & group practices 1

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1174008874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10881 LOWELL AVE STE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101666",
            "telephone_number": "913-386-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10881 LOWELL AVE STE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101666",
            "telephone_number": "913-386-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21344 W 153rd St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660615413",
            "country_code": "US",
            "telephone_number": "913-499-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMMERTZHEIM",
        "first_name": "CARI",
        "credential": "MSW, LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05692",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.