Individual provider Active NPI

Lori Ann Kanke, LMSW

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1235412537
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2015004773 Issued in MO
Practice address
2400 Frederick Blvd. Suite 401a
Saint Joseph, MO 64506
Phone
(816) 351-9026
Fax
(816) 387-9307
NPI assigned
Sep 22, 2011
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2015004773 MO Primary

Addresses

Primary practice location

2400 Frederick Blvd. Suite 401a
Saint Joseph, MO 64506

Mailing address

2400 Frederick Blvd. Suite 401a
Saint Joseph, MO 64506
Phone (816) 351-9026

Other identifiers 1

IdentifierTypeStateIssuer
1235412537MedicaidMO

Other names 1

  • Lori Ann Schmidt Former name

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
I20160224000385 MO Practitioner - Clinical Social Worker 5698070936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2301 Frederick Ave
Suite 4
Saint Joseph, MO 64506-2637
Phone (816) 351-9026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015004773MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Kanke, LCSW, LLC Clinical CurrentSince Jul 1, 2015 Accepting new patients

Locations

2301 Frederick Ave
Ste 4
Saint Joseph, MO 64506
Phone (816) 351-9026

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1235412537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 FREDERICK BLVD. SUITE 401A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-351-9026",
            "fax_number": "816-387-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FREDERICK BLVD. SUITE 401A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-351-9026",
            "fax_number": "816-387-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANKE",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015004773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235412537",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "SCHMIDT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.