Active NPI
Amy Clarkson
- Social Worker
- Kansas City, MO
National Provider Identifier
1235502139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 20100016245
- Practice address
- 9700 Granview Rd
Kansas City, MO 64137 - Phone
- (816) 508-3400
- Fax
- (816) 508-3535
- NPI assigned
- Nov 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 20100016245 | MO | Primary |
Addresses
Primary practice location
9700 Granview Rd
Kansas City, MO 64137
Mailing address
104 NE Hidden Meadow LN
Lees Summit, MO 64064-2343
Phone (816) 508-3400
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 |
|---|---|---|---|
| 20100016245 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1235502139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 NE HIDDEN MEADOW LN",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642343",
"telephone_number": "816-508-3400",
"fax_number": "816-508-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 GRANVIEW RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64137",
"telephone_number": "816-508-3400",
"fax_number": "816-508-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKSON",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "20100016245",
"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 Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.