Active NPI
Laura A Kennedy, LMSW
- Clinical Social Worker
- Independence, MO
National Provider Identifier
1245040229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2024018421
- Practice address
- 17611 E US Highway 24
Independence, MO 64056-1853 - Phone
- (816) 254-3652
- Fax
- (816) 254-9243
- NPI assigned
- Jan 10, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2024018421 | MO | Primary |
Addresses
Primary practice location
17611 E US Highway 24
Independence, MO 64056-1853
Mailing address
PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5214
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 |
|---|---|---|---|
| 2024018421 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1245040229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844715",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641844715",
"telephone_number": "417-761-5214",
"fax_number": "417-761-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17611 E US HIGHWAY 24",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640561853",
"telephone_number": "816-254-3652",
"fax_number": "816-254-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "LAURA",
"middle_name": "A",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-10",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2024018421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.