Individual provider Active NPI

Skylar Shyanne Pryor-Piazza, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1255050829
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024049971 Issued in MO
Practice address
2940 Baltimore Ave Apt 1303
Kansas City, MO 64108-3420
Phone
(913) 904-4722
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2022029642 MO
Clinical Social Worker 1041C0700X 2024049971 MO Primary

Addresses

Primary practice location

2940 Baltimore Ave Apt 1303
Kansas City, MO 64108-3420

Mailing address

1555 NE Rice Rd
Lees Summit, MO 64086-5849
Phone (816) 347-3069

Other practice location 1

3211 Woodland Ave
Kansas City, MO 64109-2073
Phone (816) 966-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022029642MOMDSocial Worker
2024049971MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover CurrentSince Dec 26, 2024 Accepting new patients
Rediscover CurrentSince Dec 26, 2024 Accepting new patients

Locations

3211 Woodland Ave
Kansas City, MO 64109
Phone (816) 931-6500

5904 E Bannister Rd
Kansas City, MO 64134
Phone (816) 966-0903

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1255050829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-347-3069",
            "fax_number": "816-347-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 BALTIMORE AVE APT 1303",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641083420",
            "telephone_number": "913-904-4722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3211 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641092073",
            "country_code": "US",
            "telephone_number": "816-966-0900",
            "fax_number": "816-554-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRYOR-PIAZZA",
        "first_name": "SKYLAR",
        "middle_name": "SHYANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2022029642",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024049971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.