Individual provider Active NPI

Richard Lin Welch, LCSW, LSCSW

  • Clinical Social Worker
  • Lees Summit, MO
National Provider Identifier
1194128504
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005605 Issued in MO
Practice address
648 SE Jonathon Ave
Lees Summit, MO 64063-3670
Phone
(660) 362-0547
Fax
(816) 774-8132
NPI assigned
Sep 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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 2168 KS
Clinical Social Worker 1041C0700X 005605 MO Primary

Addresses

Primary practice location

648 SE Jonathon Ave
Lees Summit, MO 64063-3670

Mailing address

648 SE Jonathon Ave
Lees Summit, MO 64063-3670
Phone (660) 362-0547

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141009001759 MO Practitioner - Clinical Social Worker 3678793890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

409 SE Douglas St
Lees Summit, MO 64063-4246
Phone (816) 264-4396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2168KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Welch, LCSW, LLC Clinical CurrentSince Dec 16, 2019 Accepting new patients

Locations

409 SE Douglas St
Lees Summit, MO 64063
Phone (816) 578-4548

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1194128504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 SE JONATHON AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633670",
            "telephone_number": "660-362-0547",
            "fax_number": "816-774-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 SE JONATHON AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633670",
            "telephone_number": "660-362-0547",
            "fax_number": "816-774-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "RICHARD",
        "middle_name": "LIN",
        "credential": "LCSW, LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2168",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.