BJM Fairy Godmother LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BJM FAIRY GODMOTHER LLC

Practice address

6170 Sni a Bar Rd
Kansas City, MO 64129-1955

Phone

(913) 220-2435

Fax

(913) 220-2435

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Barbara Jean Marvin, LCSW

Title

President

Phone

(913) 220-2435

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1205075801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 SNI A BAR RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641291955",
            "telephone_number": "913-220-2435",
            "fax_number": "913-220-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 SNI A BAR RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641291955",
            "telephone_number": "913-220-2435",
            "fax_number": "913-220-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJM FAIRY GODMOTHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-220-2435",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Bitely, MD
• Jennifer Bitner, MSN, APRN, FNP-C
• Lindsay Bittfield, RNC-NIC, NNP-BC
• Jennifer Bivens
• Jessica Biviano
• Amanda Bjork, PHARM.D.
• BKD Personal Assistance Services LLC
• Brian Blachly, PT
• Black Health Care Coalition
• Adrianne Jean Black, APRN

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.