Individual provider Active NPI

Anna Sirikwa, LCSW

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1245037977
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012015853 Issued in MO
Practice address
3600 I 70 Dr SE Ste C
Columbia, MO 65201-6583
Phone
(888) 410-5230
Fax
(573) 271-5108
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 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 2012015853 MO Primary

Addresses

Primary practice location

3600 I 70 Dr SE Ste C
Columbia, MO 65201-6583

Mailing address

PO Box 716
Columbia, MO 65205-0716
Phone (888) 410-5230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250512002593 MO Practitioner - Clinical Social Worker 3971020025 Reassigns benefits to 1 organization
I20250527003213 KS Practitioner - Clinical Social Worker 3971020025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012015853MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Success Health System, LLC CurrentSince Apr 15, 2025 Accepting new patients
Leeker Enterprises Inc Clinical PastSince Oct 5, 2019 Accepting new patients

Locations

11695 S Blackbob Rd
Olathe, KS 66062
Phone (913) 522-5696

3600 Interstate 70 Dr SE
Ste C
Columbia, MO 65201

4429 S River Blvd
Ste D
Independence, MO 64055
Phone (816) 373-0200

607 Teaco Rd
Kennett, MO 63857
Phone (573) 888-9828

12401 Olive Blvd
Ste 206
Saint Louis, MO 63141
Phone (314) 628-9100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1245037977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652050716",
            "telephone_number": "888-410-5230",
            "fax_number": "573-271-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 I 70 DR SE STE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016583",
            "telephone_number": "888-410-5230",
            "fax_number": "573-271-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIKWA",
        "first_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012015853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.