Active NPI
Mak Rainer Deckert, LMSW
- Social Worker
- Kingsville, MO
National Provider Identifier
1174465009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2026013781
- Practice address
- 441 NW W Hwy
Kingsville, MO 64061-9117 - Phone
- (816) 853-4766
- Fax
- (816) 853-4766
- NPI assigned
- Apr 8, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2026013781 | MO | Primary |
Addresses
Primary practice location
441 NW W Hwy
Kingsville, MO 64061-9117
Mailing address
115 S Campbell St
Pleasant Hill, MO 64080-1714
Other practice location 1
1612 RT-7
Pleasant Hill, MO 64080
Phone (816) 208-0246
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 |
|---|---|---|---|
| 2026013781 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1174465009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S CAMPBELL ST",
"city": "PLEASANT HILL",
"state": "MO",
"postal_code": "640801714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 NW W HWY",
"city": "KINGSVILLE",
"state": "MO",
"postal_code": "640619117",
"telephone_number": "816-853-4766",
"fax_number": "816-853-4766"
}
],
"practiceLocations": [
{
"address_1": "1612 RT-7",
"address_purpose": "LOCATION",
"city": "Pleasant Hill",
"state": "MO",
"postal_code": "64080",
"country_code": "US",
"telephone_number": "816-208-0246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DECKERT",
"first_name": "MAK",
"middle_name": "RAINER",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-04-08",
"last_updated": "2026-04-08",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2026013781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.