Active NPI
Jennifer Dawn Newcomer, LCSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1174510580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2000168346
- Practice address
- 5775 NW 64TH Ter
Ste. 202
Kansas City, MO 64151-2382 - Phone
- (816) 505-3333
- Fax
- (816) 753-7744
- NPI assigned
- Sep 30, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CADC1 (PENDING) | KS | |
| Social Worker | 104100000X | 2156 | KS | |
| Social Worker | 104100000X | 2000168346 | MO | |
| Clinical Social Worker | 1041C0700X | 2000168346 | MO | Primary |
Addresses
Primary practice location
5775 NW 64TH Ter
Ste. 202
Kansas City, MO 64151-2382
Mailing address
4602 NE 83Rd Ter
Kansas City, MO 64119-7617
Phone (816) 529-5990
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
| License | State | Type | Specialty |
|---|---|---|---|
| CADC1 (PENDING) | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 2000168346 | MO | MD | Social Worker |
| 2156 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Associates of Kansas City PA | Past | Accepting new patients | |
| Wubbenhorst & Wubbenhorst, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Journeys | Past | Accepting new patients | |
| Northland Psychological Associates LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Counselor
- Kansas City, MO
- NPI 1437478005
-
dba Dipoto Counseling Group
- Mental Health Counselor
- Liberty, MO
- NPI 1649453663
-
dba Madison Avenue Psychological Services
- Clinical Psychologist
- Kansas City, MO
- NPI 1891049813
Addiction (Substance Use Disorder)
-
- Psychiatry Physician
- Leawood, KS
- NPI 1356321947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1174510580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 NE 83RD TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641197617",
"telephone_number": "816-529-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 NW 64TH TER",
"address_2": "STE. 202",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641512382",
"telephone_number": "816-505-3333",
"fax_number": "816-753-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMER",
"first_name": "JENNIFER",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-30",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "CADC1 (PENDING)",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "2156",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2000168346",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2000168346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.