Active NPI
Lydia Gentry, LMSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1194570168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2024013897
- Practice address
- 6155 Oak Street
Suite B
Kansas City, MO 64113 - Phone
- (816) 607-3091
- Fax
- (816) 494-9152
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2024013897 | MO | Primary |
Addresses
Primary practice location
6155 Oak Street
Suite B
Kansas City, MO 64113
Mailing address
9229 Antioch Road
Overland Park, KS 66212
Phone (828) 216-5865
Other practice location 1
1911 E 23rd St
Kansas City, MO 64127
Phone (844) 424-3577
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 |
|---|---|---|---|
| 2024013897 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Balanced Life LLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Kansas City, MO
- NPI 1518442698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1194570168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9229 ANTIOCH ROAD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66212",
"telephone_number": "828-216-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6155 OAK STREET",
"address_2": "SUITE B",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64113",
"telephone_number": "816-607-3091",
"fax_number": "816-494-9152"
}
],
"practiceLocations": [
{
"address_1": "1911 E 23rd St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "64127",
"country_code": "US",
"telephone_number": "844-424-3577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENTRY",
"first_name": "LYDIA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2024013897",
"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 Apr 22, 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.