Katherine E Ambrosier Groves, LCSW

Individual provider Active NPI Clinical Social Worker · Kansas City, MO

NPI 1285237909 · NPPES record last updated Feb 22, 2022

Key facts

NPI
1285237909
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2019025799 (MO)
Practice address
4400 Broadway Blvd Ste 316
Kansas City, MO 64111-3305
Phone
(816) 932-1711
Fax
(816) 932-1719
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
University of Kansas School of Med (KC/Wich/Sal), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group Inc (1,233 clinicians)

Practice addresses (Care Compare)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

4225 Baltimore Ave
Kansas City, MO 64111-2304
Phone (816) 932-1711

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100 (group)
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO, KS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20201123002507 MO Practitioner - Clinical Social Worker 8921419995 Reassigns benefits to 1 organization
I20230801003509 KS Practitioner - Clinical Social Worker 8921419995 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc Current
since Dec 6, 2020
Accepting new patients
John C Hall MD PC Past
since Feb 27, 2022
Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

4225 Baltimore Ave
Kansas City, MO 64111
Phone (816) 753-4225

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

10918 Elm Ave
Ste 102
Kansas City, MO 64134
Phone (816) 765-6600

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

4400 Broadway Blvd
Ste 316
Kansas City, MO 64111
Phone (816) 561-7783

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2019025799 MO Yes

Addresses

Primary practice location

4400 Broadway Blvd Ste 316
Kansas City, MO 64111-3305

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 932-1711

Other names

  • Katherine E Ambrosier Former name

Other providers in Kansas City, MO

All providers in Kansas City, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.