Individual provider Active NPI

Nicholas Alvin Simons-Bracken, DSW, LCSW

  • Clinical Social Worker
  • Leawood, KS
National Provider Identifier
1235561366
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017011987 Issued in MO
Practice address
8900 State Line Rd Ste 414
Leawood, KS 66206-1960
Phone
(816) 500-6436
NPI assigned
Jul 31, 2013
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 2017011987 MO Primary

Addresses

Primary practice location

8900 State Line Rd Ste 414
Leawood, KS 66206-1960

Mailing address

8900 State Line Rd Ste 414
Leawood, KS 66206-1960
Phone (816) 500-6436

Other practice location 1

8700 State Line Rd Ste 310
Leawood, KS 66206-1500
Phone (816) 500-6397

Other practice location 2

12401 E 43rd St S Ste 121
Independence, MO 64055-5925
Phone (816) 500-6436 ext. 06426

Other practice location 3

1310 NW Vivion Rd Ste 102
Kansas City, MO 64118-4553
Phone (816) 500-6436

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
I20181107002337 MO Practitioner - Clinical Social Worker 8224381835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Therapeutic Services LLCGroup PAC ID 5395098982, 4 clinicians

Practice addresses (Care Compare)

12401 E 43Rd St S
Suite 121
Independence, MO 64055-5925
Phone (816) 500-6436

8900 State Line Rd
Suite 414
Leawood, KS 66206-1960
Phone (816) 500-6436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Children's Mercy Hospital CurrentSince May 5, 2022 Accepting new patients
The Children's Mercy Hospital CurrentSince May 5, 2022 Accepting new patients
Psychiatric and Family Services of Greater Kansas City, LLC PastSince Apr 6, 2021 Accepting new patients

Locations

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

Organizations & group practices 5

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": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1235561366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 STATE LINE RD STE 414",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662061960",
            "telephone_number": "816-500-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 STATE LINE RD STE 414",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662061960",
            "telephone_number": "816-500-6436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 State Line Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662061500",
            "country_code": "US",
            "telephone_number": "816-500-6397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12401 E 43rd St S Ste 121",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640555925",
            "country_code": "US",
            "telephone_number": "816-500-6436 x06426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 NW Vivion Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641184553",
            "country_code": "US",
            "telephone_number": "816-500-6436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONS-BRACKEN",
        "first_name": "NICHOLAS",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017011987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.